Workers Compensation Claims Examiner III (Hyrbid or Remote)

Job description

Job DetailsLevel: ExperiencedJob Location: Concord Office - Concord, CA 94520Position Type: Full TimeEducation Level: High School Diploma or GEDSalary Range: $90,000.00 - $100,000.00 Salary/yearTravel Percentage: NegligibleJob Shift: DayJob Category: InsuranceJOB SUMMARY: Investigates, evaluates, disposes and settles moderately complex to complex/high exposure claims. Includes the investigation, evaluation and determination of coverage, compensability and responsibility and the setting of proper reserves. DUTIES AND RESPONSIBILITIES: Processes moderately complex to complex or high exposure claims consistent with clients’ and corporate policies, procedures and “Best Practices” and in accordance with any statutory, regulatory and ethics requirements. Independently analyzes claim exposure, determines a proper plan of action to appropriately mitigate and settle/close the claim working within established level of authority. Interacts with injured workers, client contacts and attending Physician(s) to ensure awareness and understanding of the Workers’ Compensation process, requirements and entitlements. Interacts with disability and leave examiners for coordination of non-occupational be...