Senior Workers Compensation Claims Examiner Job in Rancho Cordova 95670, California US
Senior Workers Compensation Claims Examiner
Keenan Associates is a successful insurance brokerage and consulting firm meeting the insurance needs of hospitals, public entities and California school districts. Keenan specializes in providing consulting services for employee benefits, workers' compensation, loss control services, Keenan Financial Services, and property liability to school districts and hospitals throughout California. We have seen continuous progress and expansion, making us the 18th largest consulting firm in the United States. This growth positions us to continue to lead the industry into the 21st century.
We currently have an exciting, career opportunity for a Senior Workers Compensation Claims Examiner, located in our Rancho Cordova office. The Senior Claims Examiner will be responsible for administration and management of work comp claims.
The successful candidate will be tasked with handling complex legal issues, litigation prevention and control, negotiation of settlements, lien resolutions and cost containment.
Description of duties responsibilities:
Identify, prevent and mitigate potential penalties Report excess files to the Reinsurance Manager in a timely manner Report SIU/Fraud and identify and pursue subrogation Update reserves upon review of file and accept delayed claims within 90 days Request settlement authorization/notification Prepare legal referrals, provide direction to and monitor defense attorney Maintain client/claimant satisfaction Oversee new set-ups, reserves and instruction sheets Negotiate outstanding liens Make 3-point contact on delay and/or complicated cases Other duties assigned
Essential Skills and Knowledge:
Candidates must have five years of claims examiner experience and a Self-Insurance Certificate, or the ability to pass Self-Insurance Test. WCCP a plus. Effective in oral and written communication. Will work with all levels of Client, Vendor, and Keenan employees.
High school degree or GED Required.
Special Skills Required:
· IEA Basic class required
Software: Microsoft Outlook, Word and Excel Reasoning Ability: Ability to solve practical problems and to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Keenan provides a competitive compensation package. We encourage teamwork and employee initiative - people working together is what makes Keenan a success. We invite you to share in the commitment of preserving our warm tradition, reputation and dedication to our clients. After all…What you do makes a difference!
Please submit your resume and salary history to Beth Cross, bcross@keenan.com For more information, visit our website at www.keenan.com
Keenan is an Equal Opportunity/Affirmative Action Employer and supports Workplace Diversity.
Advanced Excel,Advanced Outlook,iVOS,Self-Funded Claims,TPA experience,Work Comp Claims
