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Claims Examiner Workers Compensation (Hourly)
Job Location:
Hourly Salary:
Posted:
22 October 2026 (Yesterday)
Posted:
Application Deadline:
19 January 2027
Application Deadline:
Vacancies:
1 Vacancy
Vacancies:
Job Summary
Our Client a Business Solutions company is looking for a Claims Examiner - Workers Compensation (Hourly) for their Brea CA location.
Responsibilities:
Requirements:
Why Should You Apply
Responsibilities:
- Analyzes and processes complex or technically difficult workers compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
- Negotiates settlement of claims within designated authority.
- Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
- Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level.
- Prepares necessary state fillings within statutory limits.
- Manages the litigation process; ensures timely and cost effective claims resolution.
- Coordinates vendor referrals for additional investigation and/or litigation management.
- Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.
- Manages claim recoveries including but not limited to: subrogation Second Injury Fund excess recoveries and Social Security and Medicare offsets.
- Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner.
- Communicates claim activity and processing with the claimant and the client; maintains professional client relationships.
- Ensures claim files are properly documented and claims coding is correct.
- Refers cases as appropriate to supervisor and management.
Requirements:
- Bachelors degree from an accredited college or university preferred.
- Professional certification as applicable to line of business preferred.
Why Should You Apply
- Health Benefits
- Referral Program
- Excellent growth and advancement opportunities
Required Experience:
IC
About Company
ICONMA is a globally recognized, Woman-Owned staff augmentation and technology consulting firm.
