Claims Examiner - Workers Compensation Job Listing at Kelly Services in Roseville, CA (Job ID US3603147_BH9968013)

Description

Finding a job that fits your lifestyle isn't always easy. That's where Kelly® comes in. We're seeking a Claims Specialist – Workers Compensation to work with a leading provider of technology-enabled risk, benefits, and integrated business solutions company. This role can be performed onsite or remotely. Sound good? Take a closer look below. We're here to help you find something great that works for you—so you won't miss a moment of what really matters in your life.

Why you should apply to be a Claims Specialist – Workers Compensation:

• Opportunity to work with a reputable integrated business solutions company.

• Flexible work arrangement (onsite or remote).

• Convenient Monday–Friday schedule, 8 working hours per day.

• Competitive pay rate: $49.07/hr.

What's a typical day as a Claims Specialist. You'll be:

Essential Duties and Responsibilities

• Analyzing and processing complex or technically difficult workers' compensation claims by investigating and gathering information to determine claim exposure; managing claims through well-developed action plans to timely resolution.

• Negotiating settlement of claims within designated authority.

• Calculating and assigning timely and appropriate reserves; monitoring and maintaining reserve adequacy throughout claim life.

• Calculating and paying benefits due; approving and making timely claim payments and adjustments; settling claims within authority.

• Preparing necessary state filings within statutory limits.

• Managing the litigation process to ensure timely and cost-effective resolution.

• Coordinating vendor referrals for investigation and litigation management.

• Using cost containment techniques, including strategic vendor partnerships, to reduce claim costs.

• Managing claim recoveries, including subrogation, Second Injury Fund recoveries, and Social Security/Medicare offsets.

• Reporting claims to excess carriers and responding promptly to requests for direction.

• Communicating claim activity with claimants and clients; maintaining professional relationships.

• Ensuring claim files are properly documented and coding is correct.

• Referring cases as appropriate to supervisors and management.

• Performing other duties as assigned.

• Supporting the organization's quality programs.

• Traveling as required.

This job might be an outstanding fit if you have:

• 5+ years of relevant Workers Compensation claims experience.

• Strong knowledge of California Workers Compensation regulations (Public Entity and County of Los Angeles experience a plus).

• SIP (Self-Insurance Administrator) Certification preferred.

• Bachelor's degree from an accredited college or university (preferred).

• Professional certification as applicable to line of business (preferred).

What happens next

Once you apply, you'll proceed to the next steps if your skills and experience look like a good fit. But don't worry—even if this position doesn't work out, you're still in our network. That means all of our recruiters will have access to your profile, expanding your opportunities even more.

Helping you discover what's next in your career is what we're all about, so let's get to work. Apply to be a Claims Specialist – Workers Compensation today!

As part of our promise to talent, Kelly supports those who work with us through a variety of benefits, perks, and work-related resources. Kelly offers eligible employees voluntary benefit plans including medical, dental, vision, telemedicine, term life, whole life, accident insurance, critical illness, a legal plan, and short-term disability. As a Kelly employee, you will have access to a retirement savings plan, service bonus and holiday pay plans (earn up to eight paid holidays per benefit year), and a transit spending account. In addition, employees are entitled to earn paid sick leave under the applicable state or local plan. Click here for more information on benefits and perks that may be available to you as a member of the Kelly Talent Community.

Get a complete career fit with Kelly®.

You're looking to keep your career moving onward and upward, and we're here to help you do just that. Our staffing experts connect you with top companies for opportunities where you can learn, grow, and thrive. Jobs that fit your skills and experience, and most importantly, fit right on your path of where you want to go in your career.

About Kelly

Work changes everything. And at Kelly, we're obsessed with where it can take you. To us, it's about more than simply accepting your next job opportunity. It's the fuel that powers every next step of your life. It's the ripple effect that changes and improves everything for your family, your community, and the world. Which is why, here at Kelly, we are dedicated to providing you with limitless opportunities to enrich your life—just ask the 300,000 people we employ each year.

Kelly is committed to providing equal employment opportunities to all qualified employees and applicants regardless of race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, age, marital status, pregnancy, genetic information, or any other legally protected status, and we take affirmative action to recruit, employ, and advance qualified individuals with disabilities and protected veterans in the workforce. Requests for accommodation related to our application process can be directed to the Kelly Human Resource Knowledge Center. Kelly complies with the requirements of California's state and local Fair Chance laws. A conviction does not automatically bar individuals from employment. Kelly participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.

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