About this role
Role Overview
- Oversees examiners handling workers compensation claims for a dedicated client.
- Manages workloads, provides training, and monitors individual claim activities.
- Offers technical and jurisdictional guidance on claims adjudication and maintains regular diaries.
- Supervises examiners, delegating duties as needed and ensuring proper licensing and documentation standards.
- Provides technical and jurisdictional guidance on claims adjudication, including quality reviews and reserve evaluations for high-cost or complex claims.
- Acts as a second-level appeal authority for client and claimant issues, implementing final decisions.
- Identifies trends, issues, and opportunities for process improvement; advises management.
Requirements
- 6 years of California Workers Compensation claims experience required.
- 2 years of supervisory experience preferred.
- California workers compensation claim handling experience.
- SIP Certified.
Benefits
- Flexible work schedule.
- Referral incentive program.
- Career development and promotional growth opportunities.
- A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.