Senior Claims Examiner, Workers' Compensation

Administer indemnity claims and handle complex claim issues. Use strong litigation management experience, lien resolution abilities, and customer service skills to resolve routine claims without legal representation. Maintain current diary. Identify, prevent and mitigate potential penalties. Update claim notes in computer. Provide timely reporting of excess files to the Reinsurance Manager. Report SIU/Fraud, identify and pursue subrogation and complete Rehab forms/benefit notices/SJDB/RTW form. Maintain client/claimant satisfaction. Minimum of five (5) years of California Workers' Compensation Claims Examiner experience required. Must have California Experienced Adjuster Designation and Post-Designation Certifications. Effective in verbal and written communication. Proficient in Microsoft Outlook, Excel, PowerPoint and Word. Remote work environment flexibility but must reside in California.