Job Description:
• Determine compensability and/or coverage issues for loss time workers' compensation claims
• Effectively manage a caseload of loss time claims from numerous jurisdictions
• Negotiate and direct settlements under management's review
• Gather medical and factual evidence to determine compensability
• Direct outside investigation and handle litigation files within given authority
• Coordinate and maintain contact with claimants and/or their attorneys, outside investigators, rehabilitation personnel, insureds, account liaisons, and medical providers
Requirements:
• Carrier experience preferred
• Experience handling lost time or litigated claims
• Familiarity with medical terminology
• Strong organizational, problem solving, negotiation, and conflict resolution skills
• Excellent verbal and written communication skills
• Bachelor's degree and 3+ years of relevant Workers' Compensation claims experience, or 5+ years of relevant Workers' Compensation claims experience without a bachelor's degree
• Claims Adjuster Designation or SIP Certification required
• Experience handling claims in California
Benefits:
• Medical (PPO/HDHP), vision, disability, and life insurance
• Enhanced dental plan with orthodontia coverage in addition to a standard plan
• Generous PTO plan for all benefit-time eligible employees
• Paid company holidays and 4 floating holidays
• Paid parental leave
• Employee Retirement Savings Plan/401(k) with company match and immediate vesting
• Education Assistance Program offering 100% upfront tuition reimbursement after 6 months of service for approved degree programs
• Service Recognition Program providing a monetary award toward a vacation every 5 years of employment
• Wellness Initiatives including Fitness Center and Weight Watchers Reimbursement programs
• Voluntary accident, critical illness, and hospital indemnity benefits
• Employee discount and rewards program on travel, tickets, electronics, home, and more