Job Description
Job Description
Currently seeking a Workers Compensation Lost Time Claim Examiner for our West Coast/Pacific region. The successful applicant will be handling claims from California. The position will report and reside in our Los Angeles CA
Duties Responsibilities:
- Handles all aspects of workers compensation lost time claims from set-up to case closure ensuring strong customer relations are maintained throughout the process.
- Reviews claim and policy information to provide bg for investigation.
- Conducts 3-part ongoing investigations obtaining facts and taking statements as necessary with insured claimant and medical providers.
- Evaluates the facts gathered through the investigation to determine compensability of the claim.
- Informs insureds claimants and attorneys of claim denials when applicable.
- Prepares reports on investigation settlements denials of claims and evaluations of involved parties etc.
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