Claims Specialist

Claims Specialist

Position Description: The Claims Specialist role is an exciting position where you can really grow your career and make a positive difference in the claims management process. The Claims Specialist will manage workers’ compensation and property/casualty insurance claims to cost effective closures and prepare reports that communicate the positive results to clients.

Benefits:

Excellent salary and performance bonuses

Comprehensive employee benefits including, major medical, dental, vision, life, long term disability and a 401k plan with employer matching contribution

Generous Paid Time Off (PTO) schedule

Positive and professional working environment

Excellent career advancement potential

Paid education and excellent training

Primary Responsibilities:

Communicate effectively with the claims adjusters to establish effective action plans to manage open claims to closure

Communicate with the adjusters to ensure they follow the claims management action plan

Coordinate and conduct claims reviews with insurance company adjusters

Reduce reserves on open claims

Create reports for clients that showcase our effectiveness at managing the claims process, closing claims and reducing reserves

Project experience modifications and create unit statistical filing reports for clients

Present claims reports to clients and explain the status of the claims to closure

Check posted experience modification calculations for accuracy and work with the Bureau or NCCI to correct any errors

Maintain knowledge of workers’ compensation laws and regulations and use the information to best manage claims and educate clients

Requirements:

Several years of claims management or claims consulting experience

Practical working knowledge of the claims management process

Knowledge of the workers’ compensation laws and regulations

Excellent communication and interpersonal skills

Job Type: Full-time

Pay: $90,000.00 - $110,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Professional development assistance
• Tuition reimbursement
• Vision insurance

Experience:

• Microsoft Office: 1 year (Required)
• Claims Management: 3 years (Required)

Work Location: Hybrid remote in Corona, CA 92879