- We are seeking a highly experienced Workers' Compensation Claims Analyst to join our team. The ideal candidate will have at least 3 years of experience in claims management, preferably with expertise in JURIS. This position involves analyzing complex claims, negotiating settlements, and ensuring compliance with industry regulations. The role offers flexible scheduling and may consider remote work arrangements.
- Analyze complex workers' compensation claims to determine benefits due.
- Manage claims through well-developed action plans to achieve timely resolutions.
- Negotiate settlements within designated authority.
- Calculate and assign appropriate reserves to claims.
- Prepare necessary state filings within statutory limits.
- Manage the litigation process and ensure cost-effective claims resolution.
- Coordinate vendor referrals for additional investigation or litigation management.
- Utilize cost containment techniques to reduce overall claims costs.
- Manage claim recoveries, including subrogation and offsets.
- Communicate claim activity and processing with claimants and clients.
- Ensure claim files are properly documented and coded.
- Refer cases as appropriate to supervisor and management.
- Bachelor's degree preferred.
- Professional certification in relevant field preferred.
- Five years of claims management experience or equivalent combination of education and experience required.
- Expert knowledge of insurance principles and laws, claim and disability duration, and cost containment practices.
- Excellent communication, analytical, and negotiation skills.
- Proficiency in Microsoft Office products.
- Strong organizational and interpersonal skills.
- Ability to work independently and in a team environment.
- Ability to meet or exceed service expectations.
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Claims Examiner - Orange, United States - BCforward
Description
Claims Examiner - Workers Compensation
BCforward is looking for Workers' Compensation Claims Analyst (Remote)
Position Title:Workers' Compensation Claims Analyst
Location: Remote in California
Anticipated Start Date: ASAP
Expected Duration: 03+ Months Contract to Hire
Job Type: Full Time/ W2
Pay Rate: $45 per hour on W2
Summary:
Primary Responsibilities:
Qualifications:
Benefits:
BCforward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.
About BCforward:
Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.
BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.
BCforward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.
To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.
This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.
Interested candidates please send resume in Word format Please reference job code when responding to this ad.
