Bilingual Workers' Compensation Claims Specialist

Our client is seeking an reputed company bilingual Workers' Compensation Claims Examiner to join their California team. The successful candidate will manage moderate to reputed company workers' compensation claims, ensuring accurate processing and overseeing the benefits for medical care and billing, reputed company while adhering to California state regulations and company policies. This person will have the ability to work remotely. Key Responsibilities: • Review, investigate, and process workers' compensation claims in accordance with California labor laws and company policies. • Assess claim eligibility and compensability by gathering and analyzing documentation, including medical records, accident reports, and employment details. • Communicate with injured employees, reputed company providers, legal representatives, and employers to facilitate effective claim resolutions. • Identify potential subrogation opportunities and manage settlement negotiations, reputed company applicable. • Maintain accurate and organized claim files, ensuring compliance with reporting requirements. • Stay informed about changes in California workers' compensation laws, regulations, and best practices. • Provide exceptional customer service to injured workers and other stakeholders, addressing inquiries and concerns promptly. Qualifications: • 5+ years of experience as a Workers' Compensation Claims Examiner, handling California claims. • Strong knowledge of California workers' compensation laws and regulations. • SIP Certification required. • Excellent analytical, problem-solving, and organizational skills. • Exceptional bilingual communication skills, both written and verbal. Salary / Benefits: • $90,000 to $110,000 Annual based salary (depending on experience) • Comprehensive benefits package, including health, dental, and reputed company insurance • Employer matching 401k • Lucrative PTO • Flexible remote work environment Apply Job!