California Licensed Claims Examiner

Job Summary

A company is looking for a Claims Examiner (Workers' Compensation) to manage a full-cycle caseload of workers' compensation claims.

Key Responsibilities

• Manage a caseload of 150-180 workers' compensation claims, including complex indemnity cases
• Conduct timely investigations to determine claim compensability and administer benefits according to state regulations
• Negotiate and finalize claim settlements while maintaining accurate claim documentation

Qualifications

• Bachelor's degree in a related field (preferred)
• 5+ years of workers' compensation claims experience or equivalent education and experience
• Must have an active California SIP certification (Self Insurance Plans)
• Strong knowledge of workers' compensation laws and regulations
• Relevant state licenses and/or certifications as required