Senior Liability Claims Adjuster - Remote

Next step in progression could include Lead Senior Claims Examiner or Claims Supervisor
Bilingual Senior Claims Examiner

Claims Supervisor

Next step in progression could include Lead Senior Claims Examiner or Claims Supervisor

We have been dynamic, innovative leaders in claims administration since our founding in 1976. Join our nationwide family-owned company in Workers\' Compensation, Property & Casualty, Program Business, and Managed Care. Athens Administrators has an immediate need for a full-time Bilingual Senior Claims Examiner to support our workers compensation offices and can be located anywhere in the state of California, however, employees who live less than 26 miles from the Concord, CA or Orange, CA offices are required to work once a week in the office on a day determined by their supervisor between Tuesday - Thursday. The remaining days can be worked remotely if technical requirements are met, and the employee resides in California. Athens offices are open for business Monday-Friday from 7:30 a.m. to 5:30 p.m. local time. The schedule for this position is Monday-Friday at 37.5 hours a week with the option of a flex schedule. The Senior Claims Examiner will adjust workers’ compensation claims from inception through settlement and closure, ensuring timely processing of claims and payment of benefits, managing and directing medical treatment, setting reserves, and negotiating settlements. They will use fluent Spanish skills with claimants on the account.

Review legal correspondence and medical reports
Evaluate and approve medical procedures and treatment
Investigate coverage, liability and monetary value of claim
Review medical and legal bills for appropriateness
Discuss appropriateness of medical treatment with medical case manager
Monitor and assist litigation
Negotiate settlement of claim, liens, rehabilitation plans, etc.
Appropriately close claims
Help resolve client billing and payment inquiries
Investigate complaints from injured workers
Document and code the claim files and claims system with all relevant information
Provide direction to Claims Assistants and Claims Technicians and assist with training, coaching, and mentoring as needed for them to support daily claims tasks
Provide customer service and support to clients and claimants
Work collaboratively with attorneys to draft settlements and assist with litigation strategies
Authorize and negotiate cost of medical treatment and supplies
Fluency in Spanish required
High School Diploma or equivalent (GED) required for all positions
Administrators Certificate from Self-Insurance Plans will be required within one year of employment if not already obtained
Must possess a current Experienced Indemnity Claims Adjuster Designation, provided by an insurer, as defined in California Code of Regulations, Title 10, Chapter 5, Subchapter 3, Section 2592.01(f)
3+ years recent workers compensation claims handling experience required
At least 5 years of workers compensation claims experience preferred
Solid knowledge of workers compensation laws, policies and procedures’
Understanding of medical and legal terminology
Proficient in Microsoft Office Suite
Ability to learn additional computer programs
Athens’ operations involve handling confidential, proprietary, and highly sensitive information, such as health records, client financials, and other personal data. Please submit your resume and application directly through our website at Feel free to include a cover letter if you’d like to share any other details. All applications received are reviewed by our in-house Corporate Recruitment team. The knowledge, skills, and abilities may be acquired through a combination of formal schooling, self-education, prior experience, or on-the-job training.

We provide equal employment opportunities to all qualified employees and applicants for employment without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, veteran status, disability, or any other legally protected status. We prohibit discrimination in decisions concerning recruitment, hiring, compensation, benefits, training, termination, promotions, or any other condition of employment or career development.

Don’t forget to check out our website at as well as our LinkedIn, Glassdoor, and Facebook pages!

We offer a variety of benefit plans including Medical, Vision, Dental, Life and AD&D, Long Term Care, Critical Care, Accidental, Hospital Indemnity, HSA & FSA options, 401k (and Roth), Company-Paid STD & LTD and more! Further information about our comprehensive benefits package may be found on our website at
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