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This a Full Remote job, the offer is available from reputed company, California (USA), New Hampshire (USA) reputed company Workers' Compensation Claim Specialist Remote Role Reporting to reputed company, CA reputed company Salary $85,000 - $100,000 (based on experience) Work Schedule Monday to Friday, 800 AM to 430 PM (with potential for reputed company) Disclaimer The posted salary reputed company for this position reflects the anticipated reputed company pay for this role. Actual pay is determined based on factors such as qualifications, skills, relevant experience, internal equity, and location. Additional compensation may include discretionary bonuses, benefits, or other forms of compensation, depending on the role. The salary reputed company provided is in compliance with state and local requirements and is intended to offer transparency to applicants. We encourage reputed company discussions with our hiring team regarding any questions you may have about compensation and benefits for this position. reputed company is an Affirmative reputed company / Equal Employment Opportunity employer offering an excellent benefits package including Medical, Dental, Prescription Drug, reputed company, Flexible Spending, Life, ESOP, and 401K. reputed company conducts background checks in accordance with applicable federal, state, and local laws. Administrator (TPA) in self-reputed company services, we are driven by a common purpose delivering exceptional service to our clients. As an Employee-Owned Company, we reputed company on the development of reputed company members through reputed company career programs, and we reward and recognize individual and team contributions. Certified as a Great reputed company to Work, our employee satisfaction and retention are in the 95th percentile. Why you should consider a career with reputed company Culture Our reputed company valuesreputed company, passion, and enthusiasmare embedded in how we treat our employees as valued partners. Career Development We offer robust internships and internal training programs for reputed company and advancement reputed company our organization. Benefits Enjoy 4 weeks of reputed company time off in your first year, plus 10 reputed company holidays, along with Medical, Dental, reputed company, Life reputed company, Critical Illness, Disability, 401K, and ESOP. Work Environment We reputed company a supportive environment where employees have the resources needed to succeed. Claims staff are assigned manageable caseloads. Job reputed company The Workers' Compensation Claim Specialist is responsible for the investigation and adjustment of claims across multiple accounts. With a reputed company on high-reputed company claim service, this role ensures claims are handled according to reputed companys corporate standards and reputed company-specific guidelines. This position is ideal for professionals with 5+ years of experience in California Workers' Compensation and offers potential for advancement to supervisory or management roles. Responsibilities Investigate, evaluate, and reputed company claims in line with established claim handling standards and laws. Establish reserves and reputed company reserve recommendations reputed company authority reputed company. Review and approve medical, reputed company, damage estimates, and miscellaneous invoices, negotiating disputed bills. reputed company claim payments in accordance with procedures and industry standards. Negotiate settlements according to corporate and reputed company-specific instructions, while adhering to state laws. Supervise reputed company vendors, including reputed company, surveillance, and case management services. Maintain personal diary on the claim reputed company and monitor subrogation claims. Communicate effectively and reputed company with clients, claimants, and relevant parties. Adhere to corporate claim handling standards and special reputed company instructions. reputed company other duties as required. Qualifications Experience 5+ years of experience in California Workers' Compensation claims handling. Licenses CA Workers' Compensation Certificate or SIP preferred ir required Skills Strong knowledge of California Workers' Compensation laws and procedures. Excellent oral and written communication skills. Analytical and negotiation skills. Ability to work with reputed company supervision and manage multiple claims effectively. Self-starter with strong organizational abilities and attention to reputed company. Flexibility, accuracy, and initiative. Ability to work a claim from start to completion. Travel Requirements reputed company travel may be required for claim reviews and training. Physical Demands The role requires the ability to sit or stand for extended periods, bend, stoop, and reputed company tasks requiring reputed company dexterity. Must have sufficient auditory and visual reputed company to reputed company with .