Claims Examiner - Workers Compensation

eTeam

📍 Rancho Cucamonga, California, United States

Contract Business Operations Specialists

Job Description


Job Title: Claims Examiner - Workers Compensation
Location: Remote (within California)
Duration: Months

Description:
Manager's note:
Work location: onsite/hybrid (if residing within miles from client office) or remote (within California)
SIP is mandatory. Lost time claims experience.
years of relevant and recent worker's comp experience.

PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES
Analyzes and processes complex or technically difficult workers' compensation claims by investigatin...
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