Workers Compensation Claims Management Advocate

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🏄 California – Remote

🏄 California – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

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ESM INSITE

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2005

🤝 B2B

☁️ SaaS

📋 Compliance

B2B • SaaS • Compliance

ESM INSITE is a tech-enabled risk management company that provides a secure portal (INSITE) offering learning management, compliance tools, data analytics, and claims advocacy to employers and insurance agencies to reduce workers' compensation risk and costs. The company delivers a cloud-based LMS with OSHA, supervisor soft-skill, and DE&I training, alongside safety management, return-to-work programs, and a compliance accelerator to help organizations standardize practices, improve safety, and lower workers' compensation expenses.

📋 Description

• Assisting and educating employers with managing their Workers’ Compensation claims • Engage with claims examiners to ensure best practices for optimal results • Analyzing loss runs and claim handler status reports • Strategizing and negotiating to move cases to resolution • Documenting results, trends and outcomes • Creating professional deliverables via Salesforce • Analysis of Experience Rating Forms • Calculating X-Mod forecasts • Knowledge of the basis for WCIRB recalculation opportunities • Daily interaction with multiple employers, claim examiners and insurance brokers • Strict organizational ability to set and adhere to tight diaries • Consistent follow up and report scheduling • Leading and facilitating in-person or telephonic claims reviews • Interpreting and summarizing data for employers

🎯 Requirements

• 3+ years of Workers’ Compensation claims advocacy experience • Certificates of WCCA, WCCP, ARM, Self-Insurance certificate, CPDM or other certification • Prior carrier/TPA claim examiner position • Knowledge of public school districts is key to this open position • Must be a critical thinker and a problem solver • Excellent organizational and time management skills • Must be able to set priorities and manage their time and budgets accordingly • Excellent analytical ability and review of complex claims is required • Excellent computer skills (MSFT Word, Excel, Power Point, Outlook, Teams) is a requirement • Must be able to clearly communicate verbally and in writing and have an ability to summarize data in a succinct manner • Must be able to confidently recommend, persuade, negotiate, and achieve results • A desire to help our company succeed by making a positive contribution to employers and the communities that we serve • Occasional travel to client is required. • Confidentiality is a must.

🏖️ Benefits

• Competitive salary • Comprehensive Benefits • 401K Match • Stock Options • Work From Home