Sr Claims Specialist

Irvine, CA - USA

Monthly Salary: Not Disclosed

Posted on: 3 hours ago

Vacancies: 1 Vacancy

Job Summary

Optech recruiter will call

Pipeline Job

Title: Sr Claims Specialist (Workers Compensation Adjuster) - California

Direct Hire - Remote

QUALIFICATIONS Sr Claims Specialist	Experience
WC Claim experience 3 years complex claims handling	total years
Experience handling California Claims Adjustment for Workers Compensation	List states
Managed subrogation and litigation of claims	years
Knowledge with Medicare and IMEs (Independent Medical Exam)	yes or no
Establishes reserves and authorized payments	Highest $ amount
Develop and managed action plans with the Case Managers	yes or no
Technical MS outlook Word Excel Teams SP use of multiple screens/monitors. CareMC a plus	Can include all applicable skills. List out.
Education Bachelors or combined education & related experience	list type of degree
License - No	List any Claims Adjusters licenses
Location of Candidate	list city/state
Salary banding $90 - 93K - Asking salary	$

RESPONSIBILITIES: The Sr. Claims Specialist manages complex and high-profile Workers Compensation claims. Reviews policy coverages and determines validity and compensability of the claim files necessary documents with state agencies. Collaborate with case managers to create action plans and outcomes to reduce overall cost of claim. Communicates claim status with the customer claimant and client. Work with attorneys manage subrogation negotiate settlements and handle recoveries. Meets or exceeds performance competencies and adheres to client and carrier guidelines

QUALIFICATIONS:

TOP QUALIFICATIONS

3 years managing complex Workers Compensation claims in California.
Knowledge of the Workers Compensation administration case management and cost containment solutions.
Strong communication skills - verbal and written
Strong interpersonal time management and organizational skills
Mentor team members to build knowledge and understanding of claims practices

TECHNICAL SKILLS

MS Office - Outlook Word Excel Teams SharePoint
Multiple screens/monitors

EDUCATION

Bachelors degree or a combination of education and related experience

Optech recruiter will call Pipeline Job Title: Sr Claims Specialist (Workers Compensation Adjuster) - California Direct Hire - Remote QUALIFICATIONS Sr Claims Specialist Experience WC Claim experience 3 years complex claims handling total years Experience handling Californ...

Optech recruiter will call

Pipeline Job

Title: Sr Claims Specialist (Workers Compensation Adjuster) - California

Direct Hire - Remote

QUALIFICATIONS Sr Claims Specialist	Experience
WC Claim experience 3 years complex claims handling	total years
Experience handling California Claims Adjustment for Workers Compensation	List states
Managed subrogation and litigation of claims	years
Knowledge with Medicare and IMEs (Independent Medical Exam)	yes or no
Establishes reserves and authorized payments	Highest $ amount
Develop and managed action plans with the Case Managers	yes or no
Technical MS outlook Word Excel Teams SP use of multiple screens/monitors. CareMC a plus	Can include all applicable skills. List out.
Education Bachelors or combined education & related experience	list type of degree
License - No	List any Claims Adjusters licenses
Location of Candidate	list city/state
Salary banding $90 - 93K - Asking salary	$

3 years managing complex Workers Compensation claims in California.
Knowledge of the Workers Compensation administration case management and cost containment solutions.
Strong communication skills - verbal and written
Strong interpersonal time management and organizational skills
Mentor team members to build knowledge and understanding of claims practices

TECHNICAL SKILLS