Back to Jobs

Claims Examiner- Worker's Compensation (remote in CA only)

Remote, USA Full-time Posted 2025-05-22

Claim Examiner - Workers’ Compensation (remote)

Location: Must reside in the state of California...

Pay: Depends on experience

Duties of the Claim Examiner - Workers’ Compensation:
• Receive claim assignments and confirm policy coverages.
• Interpret and make decisions using independent judgment on moderate difficulty claims and policy coverages.
• Investigate, evaluate, negotiate, and adjudicate first and third-party claims to determine validity and verify the extent of damage. This involves telephone contact with clients, claimants, witnesses, or other relevant parties.
• Analyze claims activity and prepare reports for clients, carriers, and management.
• Establish reserves, authorize payments within the scope of authority, and settle claims in a cost-effective manner, ensuring timely disbursements.
• Make prompt and equitable settlement decisions, issuing company drafts for authorized claims.
• Develop subrogation and third-party recovery potential, following reclaim procedures.
• Participate in claim reviews.

Skills Required for the Claim Examiner - Workers’ Compensation:
• Ability to work independently while assimilating various technical subjects.
• Strong verbal and written communication skills.
• Demonstrated ability to gather and analyze information, determine a course of action, and implement the selected approach.
• Proficiency in problem-solving and identifying solutions.
• Effective interpersonal skills for dealing with external sources and colleagues at all levels.

Education:
• Bachelor’s degree or equivalent experience required.
• 1-3 years of comprehensive claims investigations/settling experience in Workers’ Compensation or a similar organization

Apply Job!

 

Similar Jobs

Remote Special Education Teacher Arkansas (2024/2025 School Year)

Remote, USA Full-time

Work From Home – Data Entry Clerk (Full-Time)

Remote, USA Full-time

Part-Time Project-Based Virtual Assistant - Administrative Support Specialist

Remote, USA Full-time

Live chat Support (Remote) - Entry Level/No Experience

Remote, USA Full-time

Remote Amazon Customer Service Jobs – No Experience

Remote, USA Full-time

Online Data Entry Jobs From Home – Part-Time

Remote, USA Full-time

Call Center Agent $16/hr. - Remote | WFH

Remote, USA Full-time

Walmart Online Complete Management - Contract to Hire

Remote, USA Full-time

Independent Travel Consultant - Flexible Schedule & Client-Focused

Remote, USA Full-time

Join Concentrix Work From Home: Remote Job Opportunities

Remote, USA Full-time

Customer Success Associate Working With Marquee Brands and Celebrities

Remote, USA Full-time

Cold call sales - Advertising EASY SELL - Closers ONLY!!! :)

Remote, USA Full-time

TikTok/Email Outreach Internship (High School/College Students) (Unpaid)

Remote, USA Full-time

Senior Software Engineer - Search Quality (Remote - United Kingdom)

Remote, USA Full-time

FULL TIME Remote Customer Service Representative At Jobs For

Remote, USA Full-time

Remote Work From Home Data Entry Clerk / Typing

Remote, USA Full-time

Remote Customer Service Representative

Remote, USA Full-time

Dental Assistant - Entry level

Remote, USA Full-time

(Part Time) Southwest Airlines Customer Support Remote Jobs $21 An Hour

Remote, USA Full-time

Associate Product Owner

Remote, USA Full-time