Job Title: Workers' Compensation Senior Claim Representative Work Location: City National Plaza 555, S. Flower Street, Los Angeles, CA 90071 Duration: 6 Months (Possible Extension or Conversion) Position Type: Hourly contract Position (W2 only) Note: Job schedule-40 hours on site Job hours-8:00-4:30 Interview process-WEBEX pre-screen/Then in-person interview Job Description: Client is currently seeking a Workers' Compensation Lost Time Senior Claim Examiner for our West Coast/Pacific region. The successful applicant will be handling claims from California. The position will report and reside in our Los Angeles, CA Technical Skills & Competencies: Lost Time Claim Examiner position with prior experience in workers' compensation as a lost time examiner, or similar examiner experience in short-term / long-term disability, auto personal injury protection / medical injury, or general liability claims. Requires basic knowledge of workers' compensation statutes, regulations, and compliance. Ability to incorporate data analytics and modeling into daily activities to expedite fair and equitable resolution of claims and claim issues. Exceptional customer service and focus. Ability to openly collaborate with leadership and peers to accomplish goals. Demonstrates a commitment to a career in claims. Exceptional time management and multi-tasking capabilities with consistent follow through to meet deadlines. Use analytical skills to find mutually beneficial solutions to claim and customer issues. Ability to prepare and make exceptional presentations to internal and external customers. Conscientious about the quality and professionalism of work product and relationships with co-workers and clients. Willing to take ownership and tackle obstacles to meet Client's quality standards for service, investigation, reserving, inventory management, teamwork, and diversity appreciation. Superior verbal and written communication skills. Experience, Education & Requirements: Experience working in a customer focused, fast-paced, fluid environment Experience utilizing strong communication and telephonic skills Prior experience requiring a high level of organization, follow-up, and accountability Prior workers' compensation claim handling experience or other similar type of claim handling experience is required (healthcare, short-term / long-term disability, auto personal injury protection / medical injury, or general liability). Prior insurance, legal or corporate business experience is a plus but not required AIC, RMA, or CPCU completed coursework or designation(s) is a plus but not required Proficiency with Microsoft Office Products Knowledge of medical terminology is required Knowledge of bill processing is required Certification to handle CA Workers Compensation claims is required Experience handling claims in the states of CO, UT, NV and AZ preferred If you do not already have one, you will be required to obtain an applicable resident or designated home state adjusters license and possibly additional state licensure. Compensation: The hourly rate for this position is $44.00 - $48.00 per hour. Factors that may affect starting pay within this range may include [geography/market, skills, education, experience, and other qualifications of the successful candidate]. Benefits : Sunrise offers ACA-compliant medical coverage/dental insurance/vision insurance to all employees. We also offer Sick time benefits as required per State regulations.
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