About the Job:
Job Title: Workers’ Compensation Senior Claim Representative
Location: Los Angeles, CA (Onsite)
Duration: 6+ Months (CTH)
No. of Positions: 1
• Technical Skills & Competencies:
• Lost Time Claim Examiner position with prior experience in workers’ compensation as a lost time examiner, or similar examiner experience in short-term / long-term disability, auto personal injury protection / medical injury, or general liability claims.
• Requires basic knowledge of workers’ compensation statutes, regulations, and compliance.
• Ability to incorporate data analytics and modeling into daily activities to expedite fair and equitable resolution of claims and claim issues.
• Exceptional customer service and focus.
• Ability to openly collaborate with leadership and peers to accomplish goals.
• Demonstrates a commitment to a career in claims.
• Exceptional time management and multi-tasking capabilities with consistent follow through to meet deadlines.
• Use analytical skills to find mutually beneficial solutions to claim and customer issues.
• Ability to prepare and make exceptional presentations to internal and external customers.
• Conscientious about the quality and professionalism of work product andrelationships with co-workers and clients.
• Willing to take ownership and tackle obstacles to meet Client's quality standards for service, investigation, reserving, inventory management, teamwork, and diversity appreciation.
• Superior verbal and written communication skills.
Experience, Education & Requirements:
• Experience working in a customer focused, fast-paced, fluid environment
• Experience utilizing strong communication and telephonic skills
• Prior experience requiring a high level of organization, follow-up, and accountability
• Prior workers’ compensation claim handling experience or other similar type of claim handling experience is required (healthcare, short-term / long-term disability, auto personal injury protection / medical injury, or general liability).
• Prior insurance, legal or corporate business experience is a plus but not required
• AIC, RMA, or CPCU completed coursework or designation(s) is a plus but not required
• Proficiency with Microsoft Office Products
• Knowledge of medical terminology is required
• Knowledge of bill processing is required
• Certification to handle CA Workers Compensation claims is required
• Experience handling claims in the states of CO, UT, NV and AZ preferred
• If you do not already have one, you will be required to obtain an applicable resident or designated home state adjusters license and possibly additional state licensure.
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