Claims Examiner- Worker's Compensation (remote in CA only)

Claim Examiner - Workers? Compensation (remote) Location: Must reside in the state of California... Pay: Depends on experience Duties of the Claim Examiner - Workers? Compensation: ? Receive claim assignments and confirm policy coverages. ? Interpret and make decisions using independent judgment on moderate difficulty claims and policy coverages. ? Investigate, evaluate, negotiate, and adjudicate first and third-party claims to determine validity and verify the extent of damage. This involves telephone contact with clients, claimants, witnesses, or other relevant parties. ? Analyze claims activity and prepare reports for clients, carriers, and management. ? Establish reserves, authorize payments within the scope of authority, and settle claims in a cost-effective manner, ensuring timely disbursements. ? Make prompt and equitable settlement decisions, issuing company drafts for authorized claims. ? Develop subrogation and third-party recovery potential, following reclaim procedures. ? Participate in claim reviews. Skills Required for the Claim Examiner - Workers? Compensation: ? Ability to work independently while assimilating various technical subjects. ? Strong verbal and written communication skills. ? Demonstrated ability to gather and analyze information, determine a course of action, and implement the selected approach. ? Proficiency in problem-solving and identifying solutions. ? Effective interpersonal skills for dealing with external sources and colleagues at all levels. Education: ? Bachelor?s degree or equivalent experience required. ? 1-3 years of comprehensive claims investigations/settling experience in Workers? Compensation or a similar organization