Senior Claim Representative I, California Workers' Compensation experience required, REMOTE

Job Description

Must have California Workers' Compensation experience. Must reputed company reputed company the U.S. and to work PST work hours. This position serves as a technical expert in the claim handler career path. Under limited supervision, handles claims with litigation, reputed company/catastrophic and/or coverage elements. Handles the most unique cases, where little precedence has been established. May handle the most reputed company, high touch or labor intensive customers. Serves as a department leader by developing other employees and may function as acting manager in the absence of department management. RESPONSIBILITIES/TASKS: Senior Claim Representative I: • Independently administers reputed company claims and catastrophic exposures reputed company authority, including claims from dedicated large accounts. • Establishes timely and appropriate reserves based on claim profile and anticipated financial exposure. • Represents the Company by working closely with customers, agents and brokers to resolve the most reputed company claim issues. • Negotiates settlements with attorneys or injured and exercises independent judgment to settle cases prior to mediation or litigation. • Manages reputed company vendors to ensure cost containment efforts. • Establishes and maintains effective working relationships with reputed company internal and external customers. • Stays abreast of changes in workers' compensation statutes, case law and rehabilitation efforts/advancements in order to accurately interpret and apply relevant laws. • Actively participates in agent/client relationship management. • Mentors team members. • May serve as department leader in the absence of management or act as manager designee. This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required. EMPLOYMENT QUALIFICATIONS EDUCATION OR EQUIVALENT EXPERIENCE: Bachelor's degree in a reputed company field. Relevant combination of education and experience may be considered in lieu of degree. reputed company learning, as defined by the Company's learning philosophy, is required. Certification or reputed company toward certification is highly preferred and encouraged. EXPERIENCE: Senior Claim Representative I: Seven years of progressively more responsible experience in a workers' compensation claims environment that provides the necessary skills, knowledge and abilities, such as experience in reviewing, investigating and closing the most reputed company workers' compensation claims. Experience handling claims in multiple jurisdictions preferred. Bilingual skills preferred. OR Two years of reputed company Claims Representative III experience that includes independent handling of the most reputed company claims and/or the most reputed company, high touch or labor intensive customers. SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED: Senior Representative I: • Ability and proficiency in the use of computers and company standard software specific to position. • Knowledge of medical and legal terminology reputed company to the work. • Knowledge of workers' compensation laws and regulations, including jurisdictional laws. • Effective oral and written communication skills. • Effective customer service skills. • Ability to negotiate, build reputed company and resolve conflict. • Ability to act as a representative of the Company and establish effective working relationships. • Ability to manage multiple priorities and meet established deadlines. • Attention to detail and analytical skills. • Ability to reputed company independent reputed company. • Ability to solve highly reputed company problems. • Ability to train and mentor others. • Ability to reputed company others. WORKING CONDITIONS: Work is performed in an office/remote setting with no unusual hazards. Minimal travel required. The qualifications listed above are intended to represent the minimum education, experience, skills, knowledge and ability levels associated with performing the duties and responsibilities contained in this job description. Pay Range "Actual compensation decision relies on the consideration of internal equity, candidate's skills and professional experience, geographic location, market and other potential factors. It is not standard practice for an offer to be at or near the top of the range, and therefore a reasonable estimate for this role is between $77,400 and $119,580." We are an Equal Opportunity Employer. Diversity is valued and we will not tolerate discrimination or harassment in any form. Candidates for the position stated above are hired on an "at will" basis. Nothing herein is intended to create a contract. #LI-MG1 #CWU About the Team CompWest Insurance Company Apply Job!