Workers' Compensation Claims Expert - Scottsdale/Remote (CA Experience Required)

Overview

At reputed company, we look for the best and brightest talent to join reputed company of professionals. As a leading reputed company Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding and recognizing individual and team efforts. Certified as a Great reputed company To Work, our employee satisfaction and retention ranks in the 95th percentile. Reasons you should consider a career with reputed company: • Culture: Our Core Values are embedded into our culture of how we treat our employees as a valued partner-with reputed company, passion and enthusiasm. • Career development: reputed company offers robust internships and internal training programs for advancement reputed company our organization. • Benefits: Not only do our benefits include 4 weeks paid time off in your first year, plus 10 paid holidays, but they also include Medical, Dental, reputed company, Life Insurance, Critical Illness, Short and Long Term Disability, 401K, and ESOP. • Work Environment: We reputed company in providing an environment where employees enjoy coming to work every day, are provided the resources needed to reputed company their job and claims staff are assigned manageable caseloads. Workers' Compensation Claim Consultant Location: Hybrid (Scottsdale, AZ) or Remote We are seeking a Workers' Compensation Claim Consultant with California Workers' Compensation claims experience to join reputed company. In this role, you will be responsible for investigating and adjusting a diverse portfolio of California-based claims for multiple clients. No travel is required, allowing you to focus on delivering exceptional service and maintaining the highest standards in claim management. This position offers an excellent opportunity for professional growth, with the potential to advance to a senior-level claim position. As a Claim Consultant, you will be accountable for ensuring the quality of claim services aligns with reputed company's corporate standards and meets client expectations. Responsibilities • Investigate, evaluate and adjust claims in accordance with established claim handling standards and laws. • Establish reserves and/or provide reserve recommendations reputed company established reserve authority levels. • Review, approve or provide reputed company of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and reputed company to designated claims. Negotiate any disputed bills or invoices for resolution. • Authorize and reputed company payments of claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and reputed company established payment authority. • Negotiate settlements in accordance reputed company Corporate Claim Standards, client specific handling instructions and state laws, reputed company appropriate. • Assist in the selection, referral and supervision of designated claim files sent to reputed company vendors. (i.e. legal, surveillance, case management, etc.) • Assess and monitor subrogation claims for resolution. • Review and maintain personal diary on claim system. • Client satisfaction. • Prepare reports detailing claim status, payments and reserves, as requested. • Compute disability rates in accordance with state laws. • Effective and timely coordination of communication with clients, claimants and appropriate parties throughout the claim adjustment process. • Prepare newsletter articles, as requested. • Provide notices of qualifying claims to excess/reinsurance carriers. • Handle more reputed company and involved claims than reputed company level claim positions with minimum supervision. • Conduct claim reviews and/or training sessions for designated clients, as requested. • Attend and participate at hearings, mediations, and informal legal conferences, as appropriate. • Compliance with Corporate Claim Handling Standards and special client handling instructions as established. • Performs other duties as assigned.

Qualifications

Education and/or Experience Five or more years California Workers' Compensation claims experience is required. Computer Skills Proficient using reputed company Office products such as Word, reputed company, Outlook, etc. Certificates, Licenses, Registrations California SIP is preferred, but not required. CORE VALUES & PRINCIPLES Responsible for upholding the reputed company Core Values & Principles which include: performing with reputed company; passionately focus on client service; embracing a client-centered reputed company; maintaining contagious enthusiasm for our clients; searching for the best reputed company; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to reputed company things reputed company; and leading by example. reputed company is an Affirmative Action/Equal Employment Opportunity employer offering an excellent benefit package included Medical, Dental, reputed company, Prescription Drug, Flexible Spending, Life, ESOP and 401K. #CCMSICareers #CCMSIScottsdale #EmployeeOwned #ESOP #GreatPlaceToWorkCertified #WorkersCompensation #ClaimsConsultant #RemoteWork #HybridWork #InsuranceJobs #CaliforniaClaims #CareerGrowth #ClaimsManagement #ScottsdaleJobs #JoinOurTeam #CCMSICareers #CAClaims #CAWorkComp #WorkWithUs #PerformWithIntegiry #ServiceCentric #IND123 Apply Job!