Senior Claims Specialist, Workers Compensation

🔥 21 hours ago

🏄 California – Remote

🏄 California – Remote

💵 $55.8k - $104.9k / year

⏰ Full Time

🟠 Senior

👩‍👩‍👧‍👦 Human Resources (HR)

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Crum & Forster

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1001 - 5000 employees

Crum & Forster (C&F) is a leading national property & casualty insurance company with a large, diversified specialty platform. We protect businesses and organizations from the unpredictable nature of risk, giving them the confidence to take on new challenges and flourish in today’s increasingly complex and uncertain world. C&F is client-focused, creative, and flexible in delivering customized products and services.

📋 Description

• Examines claims data and conducts investigations into routine and moderately complex claims • Determines coverage, compensability, subrogation and benefits under moderate supervisory direction • Adjusts and manages claims within the limit of assigned authority • Verifies and determines applicability of coverage • Initiates 24-hour contact with employer, employee and 48-hour contact with attending physician • Conducts telephone investigations as required by company claims handling manual • Evaluates and adjusts claims within authority limits • Consults with Claim Manager when needed • Makes assignments to nurse case management when indicated • Sets reserves for anticipated exposure up to authority limits • Reviews medical bills for causal relationship and approves payments

🎯 Requirements

• College degree, B.A. or equivalent experience • 3+ years experience handling workers compensation claims • Strong organizational skills • Good time management skills • Foreign language communications a plus • Excellent verbal and written communication skills • Strong aptitude and knowledge of Microsoft Office programs • Ability to quickly learn new programs

🏖️ Benefits

• Competitive compensation package • Generous 401K employer match • Employee Stock Purchase plan with employer matching • Generous Paid Time Off • Excellent benefits that go beyond health, dental & vision. • Wellness programs including physical, mental and financial wellbeing • Tuition reimbursement and industry-related certifications • Professional training opportunities • Volunteer opportunities and corporate giving program • Inclusive and diverse workplace