Workers Compensation Claim Executive

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Requirements:

• 10+ years of prior Claims experience required.
• Strong knowledge of California Workers’ Compensation Claims, including rules and regulations required.
• Bachelor’s degree or work experience equivalent to a college degree required.
• Experience with MS Office products required (specifically PowerPoint, Outlook, Word, and Excel).
• Technical skill and knowledge of coverage and claims handling required.
• Moderate travel required (25-50%).
• System skills or aptitude – Applied Epic, Carrier and TPA platforms preferred.
• Excellent communication and negotiation skills.
• Strong mathematical and reasoning skills required.
• Ability to discuss and solve claim problems with clients and insurance carriers required.

Responsibilities:

• Interact professionally and timely with clients via email, phone, and in-person.
• Maintain a proactive approach focusing on claim strategies and resolutions.
• Communicate pertinent claim information timely to internal and external clients.
• Maintain strong relationships with internal and external clients.
• Participate in presentations for new business, RFPs, claim reviews, and renewals.
• Assist Claim Manager with claim staff onboarding, training, and development.
• Develop strong working knowledge of IMA computer systems.
• Lead and contribute to Claim Projects and other assigned tasks.