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Risk Analyst 3

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Santa Ana, United States Nordstrom Inc Full time

The Workers Compensation Risk Analyst 3 will be responsible for managing moderately complex claims, including high exposure and litigated claims. Responsibilities include determining benefits due; ensuring management of claims within internal claims management guidelines and in compliance with applicable laws; and identifying opportunities for, managing subrogation of claims, and negotiating settlements.

**This position is a remote “work from home” position - Must be located in California.

Position Expectations
- Thoroughly investigate workers’ compensation claims by timely contacting injured workers, medical providers, and employer representatives/witnesses and documenting investigation efforts and findings within claim management guidelines.
- Determine if claims are valid under applicable workers’ compensation statutes.
- Communicate with medical providers to develop and authorize appropriate treatment plans.
- Review and analyze medical bills to confirm charges and treatment are related to the work injury and in accordance with the treatment plan.
- Ensure payments for medical bills and income replacement are remitted on a timely basis in accordance with applicable fee schedules and statutes.
- Calculate and assign appropriate reserves to claims and manage reserve adequacy throughout the life of the claim.
- Manage claim recoveries, including but not limited to subrogation, second injury fund excess recoveries, and Social Security and Medicare offsets.
- Prepare required state filings within applicable time limits.
- Oversee and work with outside counsel to provide information and strategic direction as needed for litigation and/or settlement negotiations.
- Ability to maintain on-going education credits in a multiple state.

EDUCATION AND EXPERIENCE

High school diploma or general education degree (GED) and two years of workers’ compensation claims handling experience required. Bachelors degree from four-year college or university preferred.

CERTIFICATES, LICENSES, REGISTRATIONS

IEA Certificate and California Self Insured Certificate required.

KNOWLEDGE AND SKILLS
- Strong verbal and written communication and negotiation skills.
- Ability to work positively and collaboratively in a team environment; must always use good judgment.
- Excellent time management and organizational skills
- High level of attention to detail while working in a fast-paced environment
- Frequent use of computers, telephones, and other standard office equipment

**We’ve got you covered**

Our employees are our most important asset and that’s reflected in our benefits. Nordstrom is proud to offer a variety of benefits to support employees and their families, including:

- Medical/Vision, Dental, Retirement and Paid Time Away
- Life Insurance and Disability
- Merchandise Discount and EAP Resources

A few more important points...

The job posting highlights the most critical responsibilities and requirements of the job. It’s not all-inclusive. There may be additional duties, responsibilities and qualifications for this job.

Nordstrom will consider qualified applicants with criminal histories in a manner consistent with all legal requirements.

© 2022 Nordstrom, Inc

Current Nordstrom employees: To apply, log into Workday, click the Careers button and then click Find Jobs.

**Pay Range Details**

The pay range(s) below are provided in compliance with state specific laws. Pay ranges may be different in other locations.

California: $66,560 - $119,000 Annually