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Workers' Compensation Claim Specialist - Dedicated Account (California Jurisdiction | Remote)
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Job Description
- Req#: 6286
Employer Industry: Workers' Compensation Insurance
Why consider this job opportunity:
- Salary up to $97,000 annually based on experience
- 4 weeks PTO plus 10 paid holidays in your first year
- Comprehensive benefits including medical, dental, vision, life, and disability insurance
- Employee Stock Ownership Plan (ESOP) and 401(k) options
- Internal training and advancement opportunities within a supportive team environment
- Flexible remote work arrangement
What to Expect (Job Responsibilities):
- Investigate, evaluate, and adjust California workers' compensation claims according to employer standards and state laws
- Manage medical treatment plans and ensure timely and accurate benefit payments
- Evaluate claim reserves and settlement potential; negotiate settlements within authority and client guidelines
- Collaborate with clients, attorneys, medical providers, and internal partners
- Maintain accurate claim documentation and participate in regular file reviews
What is Required (Qualifications):
- Proven experience handling California jurisdiction workers' compensation claims (litigated and/or complex)
- Strong communication, organization, and time management skills
- Analytical mindset with sound judgment and decision-making abilities
- Proficiency in Microsoft Word and Excel
How to Stand Out (Preferred Qualifications):
- SIP designation (or willingness to obtain)
- AIC, ARM, or CPCU certification is a plus
#WorkersCompensation #ClaimsAdjuster #RemoteWork #EmployeeOwnership #CareerOpportunity
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