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Workers Compensation Claims Examiner

2 months ago


Sacramento, United States Insurance Relief Full time

Workers Compensation Claims Examiner - Hybrid - Sacramento, CA


Are you seeking a unique opportunity to use your phenomenal skills in Workers Comp? A trusted Insurance company in Sacramento, CA is adding a detail-oriented professional to join their team This company works hard to provide risk management and risk financing for all of its members. In this role, you will play a pivotal role in protecting the education systems for our youth.



What’s in it for you?


  • Monday-Friday
  • $48.00 - $50.00/hour DOE
  • Benefits: medical dental vision



What we need from you:


  • Experience - You have at least 5+ years of Workers’ Compensation Claims Examiner experience
  • Certification - SIP certification required
  • Customer Service - You provide amazing customer service, communication, and telephone skills
  • Mathematical and Analytical - Ability to review data and make actionable recommendations based on the information.
  • Comprehensive Knowledge - Understanding of Worker’s Compensation guidelines and compliance obligations.
  • Software - You are proficient with Microsoft Office: Excel, Word, PowerPoint, and other database management systems


Responsibilities:


  • Handling new claims from opening until satisfactory completion, evidence, and fact-gathering surrounding claims
  • Assuring all claims have a workable plan of action
  • Working with case managers and treatment facilities to ensure the delivery of care
  • Reviewing billing summaries
  • Identifying any signs of fraud and making proper referrals for further investigation
  • Pursue subrogation when necessary, and offer superior customer service to all parties involved


Why Insurance Relief™?


As a businessperson in the insurance industry, it is an advantage to partner with a staffing expert and ally who understands your unique skills and needs. With vast experience in the insurance arena, Insurance Relief™ works with brokers, carriers, and third-party administrators to locate and place the best people for positions ranging from entry-level to senior management. We invest the time to truly understand what you want to accomplish and then do our best to find meaningful opportunities.

Insurance Relief™ provides ample opportunities for you to put your skills to work so if this position is not quite the fit for you please give us a call to hear about all of the other opportunities we have available.