Sr Claim Examiner- WC

Department: 06311 | SRMS | R0036 | BUS : BP WC Brea - 06311 Job Category: Claims Job Code: Sr Claim Examiner- WC:BS0160 Job Title: Sr Claim Examiner- WC Keywords: Number of Positions: 1 Remaining Positions: 1 Duties: Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted. - Manages all aspects of investigative activity on complex claims. Directs the discovery and litigation strategy with legal counsel. - Analyzes claims activity and prepares reports for clients/carriers and management. - Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost effective manner and ensuring timely issuance of disbursements. - Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits. - Develops subrogation and third party recovery potential and follows reclaim procedures. - Analyzes claims activities and prepares reports for clients, carriers and/or management. Participates in claim reviews. Skills: Ability to work independently while assimilating various technical subjects. - Strong written and oral communication, negotiation and presentation skills. - Advanced analytical and problem solving skills, with the ability to manage and prioritize multiple projects. Education: Bachelor's degree or equivalent experience. - Technical claims investigations/settling experience with 4-8 years experience in Claims or similar organization. Workers Compensation (WC) Adjuster License required according to jurisdictional requirements. Preferred: - Industry designations such as IIA, AIC, AEI and/or CPCU
Location Client Location Country: United States State/Province: Californi City: Bre ddress: 675 Placentia Avenue, Suite 350, CA0001 POSTAL CODE: 92821 Work Location Same as Client Location Other Client Location Work Completed Offsite Country: United States State/Province: Californi City: bre Street Address: Street Address 2: POSTAL CODE: Schedule Start Date: 09/28/2026 Hours Per Week: 40.00 Est. End Date: 01/01/2027 Hours Per Day: 8.00 Schedule Notes: Days Per Week: 5.00 Part Time or Full Time: Full Time


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