California Licensed Claims Examiner

Job Summary

A company is looking for a Claims Examiner - Workers Compensation.

Key Responsibilities

• Analyze and process complex workers' compensation claims to determine benefits due and manage claims to resolution
• Negotiate settlements and calculate reserves while ensuring timely claim payments and adjustments
• Manage the litigation process and coordinate vendor referrals for additional investigation or litigation management

Required Qualifications

• Bachelor's degree from an accredited college or university preferred
• Five (5) years of claims management experience or equivalent combination of education and experience required
• CA adjuster certification is required
• Subject matter expert in insurance principles and laws relevant to workers' compensation
• Professional certification as applicable to line of business preferred