Workers Compensation Claims Examiner III-Sacramento CA
Workers Compensation Claims Examiner III-Sacramento CA
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Job Description
POSITION: Workers Compensation Claims Examiner III
FULLTIME
LOCATION: Fully Remote
SCHEDULE: MondayFriday
PAY RANGE: $8595K/yr.
(Exact compensation may vary based on skills experience and location. Base pay information is based on market location.
JOB DESCRIPTION:
- Effectively manages a caseload of indemnity claim files including very complex and litigated claims.
- The caseload will be between 130 workers compensation files. It claims and administers benefits for medical treatment and medical billing.
JOB RESPONSIBILITIES:
- Effectively manages a caseload of indemnity claim files including very complex and litigated claims.*
- Initiates and conducts investigations in a timely manner.*
- Determines compensability of claims and administers benefits based upon state law and Best Practices for claim handling.*
- Manages medical treatment and medical billing authorizing as appropriate.*
- Refers cases to outside defense counsel and participates in litigated matters.*
- Communicates with claimants attorneys providers and vendors regarding claims issues.*
- Work in an organized and proactive manner.*
- Computes and sets reserves within Company guidelines.*
- Settles and/or finalizes all claims and obtains authority as designated.*
- Maintains diary system for case review and documents file to reflect the status and work being performed on the file including a plan of action.*
- Communicates appropriate information promptly to the client to resolve claims efficiently including any injury trends or other safetyrelated concerns.*
REQUIRED QUALIFICATIONS: SIP Certification
WORKING CONDITIONS:
- May on occasion be exposed to loud sounds and distracting noise levels such as from office equipment.
- The ability to lift up to 30lbs
- Use of computers and technology
Here at Canon Recruiting People are our priority and we are committed to Include Diversity in every segment of who we are. It is only through our Diversity we are made a stronger organization and increase our ability to provide top tier candidates that our clients have come to know Canon for. We have an inclusive environment all employees are celebrated for their unique differences. The different perspectives and experiences of our workforce give us the competitive advantage that is essential for success in an everchanging market. By promoting inclusion with the same enthusiasm we devote to quality and competency and using the experience from a diverse assortment of backgrounds and experiences Canon is able to improve the services and value we deliver to clients employees and customers. At Canon Diversification and Inclusiveness are much more than a corporate ambition; they are a critical component in our daily corporate life.
Canon Recruiting is committed to a diverse and inclusive workplace. Canon Recruiting is an equal opportunity employer and does not discriminate on the basis of race national origin gender gender identity sexual orientation protected veteran status disability age or other legally protected status.
The pay range for this position is listed above. Base pay information is based on market location.
We will consider for employment qualified applicants with arrest and conviction records. Our range of benefits may include health care and 401(k) savings plans.
For individuals with disabilities who would like to request an accommodation please email
Employment Type
Hourly
