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Candidates must be local to California…
Description:
Min 3 years of experience with CA claims mandatory.
Shift timing: 37.5 hours/week. Flexible on start/end times (can do as early as 7am).
PRIMARY PURPOSE:
To analyze complex or technically difficult workers’ compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
QUALIFICATION
Education & Licensing Bachelor s degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.
Experience
Five (5) years of claims management experience or equivalent combination of education and experience required.
Skills & Knowledge
Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.
Excellent oral and written communication, including presentation skills
PC literate, including Microsoft Office products
Analytical and interpretive skills
Strong organizational skills
Good interpersonal skills
Excellent negotiation skills
Ability to work in a team environment
Ability to meet or exceed Service Expectations
Taras Technology, LLC is an EEO/AA Employer: women, minorities, the disabled and veterans are encouraged to apply
Remote, Claims Examiner – Workers Compensation
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