We're looking for a Claims Associate - Workers Compensation to join our team in Rancho Cordova, CA or Orange, CA. As a Claims Associate, you will analyze reported lower-level workers compensation claims to determine benefits due and ensure ongoing adjudication of claims within company standards and industry best practices.

Responsibilities:

• Adjust medical-only claims and minor lost-time workers compensation claims under close supervision.
• Support other claims representatives, examiners, and leads with larger or more complex claims as necessary.
• Process workers compensation claims determining compensability and benefits due; monitor reserve accuracy, and file necessary documentation with state agency.
• Communicate claim action/processing with claimant, client, and appropriate medical contact.
• Ensure claim files are properly documented and claims coding is correct.
• May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims.
• Maintain professional client relationships.

Requirements:

• High school diploma or GED; licenses as required.
• One (1) year of general office experience or equivalent combination of education and experience required. Claims industry experience preferred.

Benefits:

• Flexible work schedule.
• Referral incentive program.
• Career development and promotional growth opportunities.
• A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

The salary range for this role is $22-25/hr.

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