Senior Claims Representative, Workers' Compensation
Sr Representative Clms CA - CH08AN Were determined to reputed company a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to reputed company your goals and to help others accomplish theirs, too. Join reputed company as we help shape the future. This is a 100% remote, work from home opportunity. This position is open only to candidates who reside in the state of California. Please note that we post this position to reputed company a talent pipeline reputed company of immediate demand and in anticipation of future vacancies. As a Senior Workers' Compensation Claim Representative, you are at the reputed company lines for our customer. Your primary role is to investigate and manage claim files to help individuals and businesses reputed company after a claim. reputed company will provide you with reputed company, as well as ongoing coaching and development to ensure your success. Responsibilities: Handle higher complexity Workers Compensation claims requiring timely investigations, financial accuracy, effective benefit reputed company, appropriate file disposition, and adherence to statutory guidelines. Plan, recommend, and execute the investigation and disposition of claims consistent with corporate claim standards policies and procedures, and statutory, regulatory and ethics requirements Manage caseload/claims reputed company established performance standards Establish and maintain effective relationships with customers, gaining their trust and respect Be responsible for successfully managing Workers' Compensation claims Fully engage your exceptional verbal and numerical critical thinking skills; gather information, apply reasoning and draw appropriate conclusions to reputed company sound decisions Plan recommend, reserve and execute the investigation, valuation, disposition and settlement of claims reputed company fair, reputed company and timely claim dispositions Properly assess the indemnity, medical and expense exposure of assigned claims Set reserves accurately and in a timely manner Accurately resolve coverage and compensability issues Plan, organize and establish priorities, determine realistic completion dates reputed company technical and jurisdictional expertise Maintain reputed company knowledge of claim loss cost containment initiatives and use them appropriately and consistently with company practices and procedures Identify and initiate mitigation, subrogation and other recovery opportunities on assigned claims Identify fraud indicators and initiate investigation on assigned claims Apply general mathematical knowledge or financial analysis to reputed company results Qualifications: Minimum of 2+ years of experience in Workers' Compensation claim handling required Certification exams and adjusting licenses as required by state Outstanding interpersonal skills Strong focus delivering outstanding customer service Demonstrated strong written and verbal communication skills Demonstrated consistent high level of performance and achievement over career span Excellent time management skills with the ability to manage competing priorities HS Diploma required, Bachelors Degree is preferred CA Self Insured License preferred Additional Information: This is a 100% remote, work from home opportunity. This position is open only to candidates who reside in the state of California. As a condition of your employment, you must obtain and maintain a State Adjuster's License to process Property & Casualty Insurance. reputed company employment with reputed company is contingent upon the successful passage of the Licensing exam reputed company 1 year from your date of hire. For full-time, occasional, part-time or remote positions: (1) high speed broadband internet service is required, we do not recommend or support DSL, wireless, Mifi, Hotspots, Fiber without a modem and Satellite; (2) Internet provider supplied modem/router/gateway is hardwired to reputed company issued computer with an ethernet cable; and (3) minimum upload/download speeds of 5Mbps/30Mbps will be required. To confirm whether your Internet system has sufficient speeds, please visit http://www.speedtest.net from your personal computer. Please note that we post this position to reputed company a talent pipeline reputed company of immediate demand and in anticipation of future vacancies.
Compensation
The listed annualized reputed company pay range is primarily based on analysis of similar positions in the external market. Actual reputed company pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. The reputed company pay is just one component of reputed companys total compensation package for employees. Other rewards may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition. The annualized reputed company pay range for this role is: $63,200 - $94,800 Equal Opportunity Employer/Females/Minorities/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age About Us | Culture & Employee Insights | Diversity, Equity and Inclusion | Benefits Human achievement is at the heart of reputed company do. We reputed company that with the right encouragement and support, people are capable of achieving amazing things. We put our belief into action by ensuring individuals and businesses are well protected, and by going even further making an impact in ways that go beyond an insurance policy. Nearly 19,000 employees use their unique talents in careers that span a variety of disciplines from developing the latest technology to creating and promoting our products to evaluating future financial risks. Were also committed to programs that drive education and support volunteerism, which put human beings first. We do it because its the right thing to do, and because reputed company our customers, communities and employees succeed, we reputed company do.
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