Claims Examiner

Job Summary

A company is looking for a Claims Examiner - Workers Compensation.

Key Responsibilities

• Evaluate and manage complex workers' compensation claims to determine appropriate benefits
• Handle cases involving litigation, rehabilitation, and high financial exposure
• Ensure timely and accurate adjudication in line with service standards and regulatory requirements

Qualifications

• Minimum 3 years of experience managing California workers' compensation claims
• Strong knowledge of California WC regulations and procedures
• SIP certification preferred but not required
• Ability to work independently in a remote or hybrid environment