Workers' Compensation Claim Specialist, Senior - Remote - CA Claims
At CCMSI, we look for the best and brightest talent to join our team of professionalsAs a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clientsAs an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding and recognizing individual and team effortsCertified as a Great Place To Work, our employee satisfaction and retention ranks in the 95th percentile Reasons you should consider a career with CCMSI:
Culture:
Our Core Values are embedded into our culture of how we treat our employees as a valued partner-with integrity, passion and enthusiasmCareer development:
CCMSI offers robust internships and internal training programs for advancement within our organization.
Benefits:
Not only do our benefits include 4 weeks paid time off in your first year, plus 10 paid holidays, but they also include Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401K, and ESOP.
Work Environment:
We believe in providing an environment where employees enjoy coming to work every day, are provided the resources needed to perform their job and claims staff are assigned manageable caseloads.
The Workers' Compensation Senior Claim Specialist is responsible for the investigation and adjustment of assigned claimsThis position may be used as an advanced training position for consideration for promotion to a supervisory/management positionAccountable for the quality of claim services as perceived by CCMSI clients and within our corporate claim standards.
Investigate, evaluate and adjust claims in accordance with established claim handling standards and laws.
Establish reserves and/or provide reserve recommendations within established reserve authority levels.
Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated claimsNegotiate any disputed bills or invoices for resolution.
Authorize and make payments of claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority.
Negotiate settlements in accordance within Corporate Claim Standards, client specific handling instructions and state laws, when appropriate.
Assist in the selection, referral and supervision of designated claim files sent to outside vendors(i.
elegal, surveillance, case management, etc.
)Assess and monitor subrogation claims for resolution.
Compute disability rates in accordance with state laws.
Effective and timely coordination of communication with clients, claimants and other appropriate parties throughout the claim adjustment process.
Provide notices of qualifying claims to excess/reinsurance carriers.
Handle more complex and involved claims than intermediate/lower level claims positions with minimum supervision, as requested.
Attend and participate at hearings, mediations, and informal legal conferences, as appropriate.
Supervision of all claim activity for specified accounts.
Compliance with Corporate Claim Handling Standards and special client handling instructions as established.
Performs other duties as assigned.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorilyThe requirements listed below are representative of the knowledge, skills, and/or abilities requiredReasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Excellent oral and written communication skills.
Initiative to set and achieve performance goals.
Good analytic and negotiation skillsAbility to cope with job pressures in a constantly changing environment.
Knowledge of all lower level claim position responsibilities.
Must be detail oriented and a self-starter with strong organizational abilities.
Ability to coordinate and prioritize required.
Flexibility, accuracy, initiative and the ability to work with minimum supervision.
Discretion and confidentiality required.
Reliable, predictable attendance within client service hours for the performance of this position.
Responsive to internal and external client needs.
Ability to clearly communicate verbally and/or in writing both internally and externally.
Education and/or Experience 15+ years claim experience is required.
Bachelor Degree is preferred.
Computer Skills Proficient using Microsoft Office programs such as Word, Excel, Outlook, etc.
Certificates, Licenses, Registrations Adjusters license may be required based upon jurisdictionAIC Designation preferred.
Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this jobReasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Object Handling CategoriesWork requires the ability to lift/carry objects routinely as follows:
Light Lifting:
No lifting of objects weighing more than 15 pounds on a regular basis.
Other Physical DemandsWork requires the ability to sit or stand up to 7.
5 or more hours at a time.
Work requires sufficient auditory and visual acuity to interact with others CORE VALUES& PRINCIPLES Responsible for upholding the CCMSI Core Values & Principles which include:
performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example.
CCMSI is an Affirmative Action / Equal Employment Opportunity employer offering an excellent benefit package including Medical, Dental, Prescription Drug, Vision, Flexible Spending, Life, ESOP and 401K.
Recommended Skills Analytical Case Management Claim Processing Communication Confidentiality Customer Service Estimated Salary: $20 to $28 per hour based on qualifications.
Culture:
Our Core Values are embedded into our culture of how we treat our employees as a valued partner-with integrity, passion and enthusiasmCareer development:
CCMSI offers robust internships and internal training programs for advancement within our organization.
Benefits:
Not only do our benefits include 4 weeks paid time off in your first year, plus 10 paid holidays, but they also include Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401K, and ESOP.
Work Environment:
We believe in providing an environment where employees enjoy coming to work every day, are provided the resources needed to perform their job and claims staff are assigned manageable caseloads.
The Workers' Compensation Senior Claim Specialist is responsible for the investigation and adjustment of assigned claimsThis position may be used as an advanced training position for consideration for promotion to a supervisory/management positionAccountable for the quality of claim services as perceived by CCMSI clients and within our corporate claim standards.
Investigate, evaluate and adjust claims in accordance with established claim handling standards and laws.
Establish reserves and/or provide reserve recommendations within established reserve authority levels.
Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated claimsNegotiate any disputed bills or invoices for resolution.
Authorize and make payments of claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority.
Negotiate settlements in accordance within Corporate Claim Standards, client specific handling instructions and state laws, when appropriate.
Assist in the selection, referral and supervision of designated claim files sent to outside vendors(i.
elegal, surveillance, case management, etc.
)Assess and monitor subrogation claims for resolution.
Compute disability rates in accordance with state laws.
Effective and timely coordination of communication with clients, claimants and other appropriate parties throughout the claim adjustment process.
Provide notices of qualifying claims to excess/reinsurance carriers.
Handle more complex and involved claims than intermediate/lower level claims positions with minimum supervision, as requested.
Attend and participate at hearings, mediations, and informal legal conferences, as appropriate.
Supervision of all claim activity for specified accounts.
Compliance with Corporate Claim Handling Standards and special client handling instructions as established.
Performs other duties as assigned.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorilyThe requirements listed below are representative of the knowledge, skills, and/or abilities requiredReasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Excellent oral and written communication skills.
Initiative to set and achieve performance goals.
Good analytic and negotiation skillsAbility to cope with job pressures in a constantly changing environment.
Knowledge of all lower level claim position responsibilities.
Must be detail oriented and a self-starter with strong organizational abilities.
Ability to coordinate and prioritize required.
Flexibility, accuracy, initiative and the ability to work with minimum supervision.
Discretion and confidentiality required.
Reliable, predictable attendance within client service hours for the performance of this position.
Responsive to internal and external client needs.
Ability to clearly communicate verbally and/or in writing both internally and externally.
Education and/or Experience 15+ years claim experience is required.
Bachelor Degree is preferred.
Computer Skills Proficient using Microsoft Office programs such as Word, Excel, Outlook, etc.
Certificates, Licenses, Registrations Adjusters license may be required based upon jurisdictionAIC Designation preferred.
Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this jobReasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Object Handling CategoriesWork requires the ability to lift/carry objects routinely as follows:
Light Lifting:
No lifting of objects weighing more than 15 pounds on a regular basis.
Other Physical DemandsWork requires the ability to sit or stand up to 7.
5 or more hours at a time.
Work requires sufficient auditory and visual acuity to interact with others CORE VALUES& PRINCIPLES Responsible for upholding the CCMSI Core Values & Principles which include:
performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example.
CCMSI is an Affirmative Action / Equal Employment Opportunity employer offering an excellent benefit package including Medical, Dental, Prescription Drug, Vision, Flexible Spending, Life, ESOP and 401K.
Recommended Skills Analytical Case Management Claim Processing Communication Confidentiality Customer Service Estimated Salary: $20 to $28 per hour based on qualifications.
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