California Workers' Compensation Claims Examiner - Litigation Remote

Qualifications/Skills/Experience: Four (4) years of California workers' compensation claims management experience or equivalent combination of education and experience required. The client is looking for a candidate who can analyze complex or technically difficult California workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.

Responsibilities: Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution. Negotiates settlement of claims within designated authority. Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim. Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles claims within designated authority level. Prepares necessary state filings within statutory limits. Manages the litigation process; ensures timely and cost effective claims resolution. Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.Only those lawfully authorized to work in the designated country associated with the position will be considered.Please note that all position start dates and duration are estimates and may be reduced or lengthened based upon a client's business needs and requirements.