California Licensed Claims Examiner

Job Summary

A company is looking for a Sr. Claim Examiner responsible for managing workers' compensation claims remotely.

Key Responsibilities

• Investigates claims and determines compensability and extent of liability
• Communicates with clients, employers, and medical professionals to ensure timely claim resolution
• Documents claim information and manages reserves, payments, and reports

Required Qualifications, Training, and Education

• High School diploma or equivalent
• Minimum of five (5) years of experience handling complex workers' compensation lost-time claims
• Multi-line experience is required
• Active licensing as a Workers Comp Claim Adjuster
• Bilingual (Spanish) is a plus