Workers Compensation Claims Examiner
Kearny Mesa, CA
Workers Compensation Claims Examiner needed for an insurance office located in San Diego.
• This is a temporary position to possible temp-to-hire opportunity.
• Depending on experience, the position will pay $35/hr. - $38/hr.
Job Duties can include:
• Analyze and manage claims by investigating and gathering information to determine the exposure on the claim.
• Manage claims through action plans to an appropriate and timely resolution.
• Communicate claim activity and processing with the claimant and the client.
• Negotiate settlement of claims within designated authority.
• Calculate and assign reserves to claims.
• Ensure claim files are properly documented and coding is correct.
• Calculate and pay benefits; approve and make timely claim payments and adjustments. Settle claims within designated authority level..
• Other duties as required.
This is a Senior level position so the qualified candidate must have a minimum of five years recent experience processing CA W/C claims. The qualified candidate must also be able to handle a heavy caseload and work in a fast-paced environment.