California Licensed Claims Examiner

Job Summary

Analyzing Workers Compensation claims, the full-time California Licensed Claims Examiner will adjudicate complex customer claims and negotiate settlements while working in a hybrid environment from Concord, CA or remotely within California.

Key responsibilities

• Investigate and gather information to determine exposure on claims, processing them to timely resolution
• Negotiate settlements of claims within designated authority
• Communicate claim activity and processing with claimants and clients, ensuring compliance with service expectations

Required qualifications

• 5 years of claims management experience or an equivalent combination of education and experience
• High School Diploma or GED required; Bachelor's degree preferred
• Professional certification applicable to the line of business preferred
• SIP required or must be obtained within one year of employment
• California workers compensation jurisdictional knowledge required