Claims Examiner - Workers Compensation (Hourly) Iconma
Brea, CAToday
- $43–$48 Per Hour
ICONMA, LLC
- Brea, CA
- 30+ days ago
- $43–$48 Per Hour
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Skills
- Alliance/Partner Managementunmatched
- Business Solutionsunmatched
- Claims Codingunmatched
- Claims Managementunmatched
- Claims Processingunmatched
- Cost Controlunmatched
- Customer Relationsunmatched
- Data Collectionunmatched
- Develop and Maintain Customersunmatched
- Health Planunmatched
- Litigationunmatched
- Medicareunmatched
- Negotiation Skillsunmatched
- Process Analysisunmatched
- Process Managementunmatched
- State Laws and Regulationsunmatched
- Subrogationunmatched
- Time Managementunmatched
- Vendor/Supplier Planningunmatched
- Worker's Compensationunmatched
Description
Our Client, a Business Solutions company, is looking for a Claims Examiner - Workers Compensation (Hourly) for their Brea, CA location.
Responsibilities:
Requirements:
Why Should You Apply?
Responsibilities:
- Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
- Negotiates settlement of claims within designated authority.
- Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
- Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level.
- Prepares necessary state fillings within statutory limits.
- Manages the litigation process; ensures timely and cost effective claims resolution.
- Coordinates vendor referrals for additional investigation and/or litigation management.
- Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.
- Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
- Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner.
- Communicates claim activity and processing with the claimant and the client; maintains professional client relationships.
- Ensures claim files are properly documented and claims coding is correct.
- Refers cases as appropriate to supervisor and management.
Requirements:
- Bachelor's degree from an accredited college or university preferred.
- Professional certification as applicable to line of business preferred.
Why Should You Apply?
- Health Benefits
- Referral Program
- Excellent growth and advancement opportunities
Numbers & Facts
| Location | Brea, CA |
| Salary | $43–$48 Per Hour |
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