The Claims Education Panel wishes to thank the dedicated insurance professionals and service providers who have given their valuable time and expertise in providing the insurance industry with a much needed and valuable resource.

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Claims Education Panel is a service mark of Ruiz & Associates, Inc.

Workers Compensation Claims Examiner

Workers' Compensation

SDI Staffing

Sharlene Theakston

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.