Claims Examiner Workers Compensation 1475961

Adecco is assisting a local client recruiting Claims Examiner opportunities in Long Beach, CA(Onsite role). This is an excellent opportunity to join a winning culture and get your foot in the door for being Known companies who are self-insured and don't have their own claims department. Helping people, restoring property, preserving brands and empowering performance. If Claims Examiner sounds like something you would be interested in, and you meet the qualifications listed below, apply now!**Key Responsibilities**· Analyze and process complex or technically challenging workers' compensation claims by conducting thorough investigations, gathering critical information, and determining claim exposure. Develop and manage action plans to drive appropriate and timely resolution.· Negotiate settlements within designated authority levels.· Calculate and assign accurate and timely reserves; ensure reserve adequacy throughout the life of each claim.· Calculating and issue benefits; approve and process timely claim payments, adjustments, and settlements within authority limits.· Prepare and submit required state filings within statutory deadlines.· Manage the litigation process, ensuring timely, cost‐effective resolution of litigated claims.· Coordinate vendor referrals for additional investigations, surveillance, medical management, or litigation support.· Utilize cost‐containment strategies, including partnerships with designated vendors, to reduce overall claim costs.· Manage claim recoveries, including subrogation, Second Injury Fund recoveries, excess recoveries, and Social Security/Medicare offsets.· Report applicable claims to excess carriers and respond promptly and professionally to requests for information or direction.· Maintain regular communication with claimants and clients regarding claim status; ensure strong and professional client relationships.· Ensure accurate documentation and proper claim coding for all assigned files.· Refer cases to supervisors or management when appropriate based on complexity or authority guidelines.**Required Skills:**· Subject matter expertise in workers' compensation insurance principles, state laws, claims handling procedures, disability duration guidelines, and cost‐containment practices (including medical management).· Strong understanding of recoveries, offsets, deductions, and Social Security/Medicare processes relevant to claims.· Excellent verbal and written communication skills, including the ability to deliver presentations.· Proficiency with Microsoft Office and other PC-based applications.· Strong analytical and interpretive skills.· Excellent organizational abilities and attention to detail.· Effective interpersonal and relationship-building skills.· Strong negotiation skills with the ability to influence outcomes within authority limits.· Ability to work collaboratively in a team environment.· Ability to meet or exceed service expectations consistently.What's in this Claims Examiner position for you?Pay: $ 45.71/hr.Shift: Onsite Role // 8:00 AM-4:30 PM PST Mon- Fri // Long Beach, CAWeekly paycheckDedicated Onboarding Specialist & Recruiter · Access to Adecco's Aspire Academy with thousands of free upskilling courses.This Claims Examiner is being recruited by one of our Centralized Delivery Team and not your local Branch. For instant consideration for this Claims Examiner position and other opportunities with Long Beach, CA(Onsite Role) apply today!**Pay Details:** $45.71 per hourBenefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.Equal Opportunity Employer/Veterans/DisabledMilitary connected talent encouraged to applyTo read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.adecco.com/en-us/candidate-privacyThe Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:+ The California Fair Chance Act+ Los Angeles City Fair Chance Ordinance+ Los Angeles County Fair Chance Ordinance for Employers+ San Francisco Fair Chance Ordinance**Massachusetts Candidates Only:** It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.