California Workers' Compensation Claims Examiner | Remote

King'S Insurance Staffing
  • California
  • Remote
    26 days ago

    Job Description

    Our client is seeking an experienced California Workers' Compensation Claims Examiner to join their growing Claims team. This is an excellent opportunity for a claims professional who thrives in a fast-paced, collaborative environment. The ideal candidate will have experience managing indemnity claims from inception through resolution while ensuring compliance with California Workers' Compensation laws and regulations. This is a fully remote, temp-to-perm opportunity.
     
    Key Responsibilities:
    • Manage a caseload of California Workers' Compensation claims from inception through resolution.
    • Investigate claims, determine compensability, establish reserves, and develop appropriate claim strategies.
    • Coordinate with injured workers, employers, attorneys, medical providers, and vocational professionals throughout the life of the claim.
    • Review medical records, wage information, and legal documentation to evaluate claim exposure and determine appropriate benefits.
    • Negotiate settlements and work closely with defense counsel on litigated claims.
    • Maintain timely and accurate claim documentation within the claims management system.
    • Ensure compliance with California Workers' Compensation statutes, regulations, and company claim handling guidelines.
    Requirements:
    • 3-5+ years of California Workers' Compensation Claims Examiner experience required.
    • Strong knowledge of California Workers' Compensation laws, regulations, and benefit administration.
    • Must reside in California
    • Experience handling indemnity and litigated California Workers' Compensation claims.
    • Excellent organizational, analytical, negotiation, and communication skills.
    • Ability to independently manage a full caseload in a remote environment.
    • Proficiency with claims management systems and Microsoft Office Suite.
    • SIP certification preferred but not required.
    Salary & Benefits:
    • $45.00 – $55.00 per hour, depending on experience
    • Fully remote work environment
    • Medical, Dental, Vision, and 401(k) benefits available while on assignment
    • Strong opportunity for permanent hire based on performance

    Numbers & Facts

    LocationCalifornia (
    Remote
    )
    Websitehttps://www.thekingstaffing.com

    Skills

    • Analysis Skillsunmatched
    • Case Managementunmatched
    • Claims Managementunmatched
    • Claims Processingunmatched
    • Communication Skillsunmatched
    • Compensation and Benefitsunmatched
    • Documentationunmatched
    • Healthcare Providersunmatched
    • Legal Documentsunmatched
    • Litigationunmatched
    • Maintain Complianceunmatched
    • Medical Recordsunmatched
    • Microsoft Officeunmatched
    • Negotiation Skillsunmatched
    • Organizational Skillsunmatched
    • Regulationsunmatched
    • SIP (Session Initiation Protocol)unmatched
    • Strategic Planningunmatched
    • Team Playerunmatched
    • Time Managementunmatched
    • Work From Homeunmatched
    • Worker's Compensationunmatched

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