Workers Compensation Claims Examiner III _ Temp

Job description

Job DetailsLevel: ExperiencedJob Location: Chino Hills - Chino Hills, CA 91709Position Type: TemporaryEducation Level: High School Diploma or GEDSalary Range: $93,600.00 - $104,000.00 SalaryTravel Percentage: NoneJob Shift: DayJob Category: Admin - ClericalPOSITION SUMMARY: Under minimal supervision manages all aspects of indemnity claims handling from inception to conclusion within established authority and guidelines. This position requires considerable interaction with clients, claimants on the phone, and with management, other Claims Examiners, and other TRISTAR staff in the office; therefore consistently being at work in the office, in a timely manner, is inherently required of this position. DUTIES AND RESPONSIBILITIES: Effectively manages a caseload of 150 to 180 workers’ compensation files, including very complex claims.* Initiates and conducts investigation in a timely manner.* Determines compensability of claims and administer benefits, based upon state law and in accordance with established Company guidelines.* Manages medical treatment and medical billing, authorizing as appropriate.* Refers cases to outside defense counsel. Directs and manages as appropriate.* Communic...