Job Description
Our client, a leading insurance company, is continuing to expand their California business and seeking to add a Senior California Workers' Compensation Claims Consultant III to their organization. This is a newly created position due to their continued growth. This person will be responsible for handling moderate to complex California Workers' Compensation claims from inception to close. Qualified candidates will have the ability to work remotely but must reside in California!
Handle mid to complex California Workers Compensation Lost Time claims.
Investigate claims to determine validity and extent of liability.
Properly investigate and evaluate each case by corresponding with agents, insureds, claimants, witnesses, and others.
Coordinate medical treatment for injured workers.
Review and evaluate documentation, including applications, reports, and statements.
Ensure legal, regulatory, and fair claims handling compliance.
Identify claims with subrogation potential and pursue reimbursement.
Set or recommend reserves based on results of claim investigation.
Requirements:
5+ years of California Workers Compensation Lost Time claims handling experience
SIP strongly desired
Must have experience working for an Insurance Carrier or TPA
Must reside in California and have experience handling litigated files
Salary/Benefits:
$90,000 to $105,000 annual base salary plus bonus
Ability to work from home
Benefits start day 1
Employer matching 401(k) plan
Advancement opportunities
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