Workers Compensation (Los Angeles)

About the Job :

Job Title : Workers Compensation Senior Claim Representative

Location : Los Angeles, CA (Onsite)

Duration : 6+ Months (CTH)

No. of Positions : 1

Technical Skills & Competencies :

Lost Time Claim Examiner position with prior experience in workers compensation as a lost time examiner, or similar examiner experience in short-term / long-term disability, auto personal injury protection / medical injury, or general liability claims.

Requires basic knowledge of workers compensation statutes, regulations, and compliance.

Ability to incorporate data analytics and modeling into daily activities to expedite fair and equitable resolution of claims and claim issues.

Exceptional customer service and focus.

Ability to openly collaborate with leadership and peers to accomplish goals.

Demonstrates a commitment to a career in claims.

Exceptional time management and multi-tasking capabilities with consistent follow through to meet deadlines.

Use analytical skills to find mutually beneficial solutions to claim and customer issues.

Ability to prepare and make exceptional presentations to internal and external customers.

Conscientious about the quality and professionalism of work product andrelationships with co-workers and clients.

Willing to take ownership and tackle obstacles to meet Client's quality standards for service, investigation, reserving, inventory management, teamwork, and diversity appreciation.

Superior verbal and written communication skills.

Experience, Education & Requirements :

Experience working in a customer focused, fast-paced, fluid environment

Experience utilizing strong communication and telephonic skills

Prior experience requiring a high level of organization, follow-up, and accountability

Prior workers compensation claim handling experience or other similar type of claim handling experience is required (healthcare, short-term / long-term disability, auto personal injury protection / medical injury, or general liability).

Prior insurance, legal or corporate business experience is a plus but not required

AIC, RMA, or CPCU completed coursework or designation(s) is a plus but not required

Proficiency with Microsoft Office Products

Knowledge of medical terminology is required

Knowledge of bill processing is required

Certification to handle CA Workers Compensation claims is required

Experience handling claims in the states of CO, UT, NV and AZ preferred

If you do not already have one, you will be required to obtain an applicable resident or designated home state adjusters license and possibly additional state licensure.