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Claims Examiner - Workers Compensation

Posted 19 days ago

  • Expiry Date: 06 June 2022
  • Referral: 206983@accuick.com

JOB DESCRIPTION:
ESSENTIAL FUNCTIONS and 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 claims 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.

QUALIFICATION:

  • Education & LicensingBachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.

  • ExperienceFive (5) years of claims management experience or equivalent combination of education and experience required.

Requirements:

  • California Self Insurance Certification is required. The contract hire will need 2 weeks of training in the Pasadena office before allowing remote work. 

About ASK: ASK Consulting is an award-winning technology and professional services recruiting firm servicing Fortune 500 organizations nationally. With 5 nationwide offices, two global delivery centers, and employees in 42 states-ASK Consulting connects people with amazing opportunities.

ASK Consulting is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all associates.