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The Claims Assistant-Support Unit, is under moderate supervision, utilizes general understanding of department’s operation and objectives to provide administrative support related to claims payments, bill inquiries, coordination assistance, and customer service to the claims department. This position will answer general claims payment questions from customers and will act as a liaison for technical staff and internal/external customers in responding to routine inquiries. Job functions are considered routine and predefined and require minimum evaluation. Claims financial processing activities will be conducted in compliance with the rules, regulations, and statutes of the WCAB and...
The Senior Workers’ Compensation Examiner is responsible for the analysis and management of complex workers’ compensation claims. This position will review, investigate, and make decisions regarding coverage, compensability, and appropriateness of claims. The position will process and document claims to ensure compliance with company standards, industry best practices, and legislative provisions. The role acts in a fiduciary role on behalf of policyholders, negotiates claim settlements and manages subrogation. Senior Claims Examiner’s conduct the handling of claims in the utmost of good faith in compliance with the rules, regulations and statutes...