Sr Claim Examiner-WC (CA)
Core
Investigate, evaluate, and resolve advanced, large-loss, and complex Workers Compensation claims with a high degree of autonomy.
Role type
Senior IC Workers Compensation Claims Examiner
Builds
Claim settlements, reserve analyses, and subrogation recoveries
Domain
Insurance / Workers Compensation
Required skills
California Workers Compensation claims handling, complex case management, reserve establishment, claim settlement negotiation, subrogation development, policy coverage interpretation, litigation strategy direction, report preparation
Preferred skills
IIA, AIC, AEI, CPCU designations, Workers Compensation Adjuster License
Technologies
None stated
Responsibilities
Interpret and make decisions on complex policy coverages; manage investigative activity and direct discovery/litigation strategy with counsel; establish reserves and authorize payments; settle claims equitably; develop subrogation and third-party recovery potential; analyze claims activity and prepare reports for clients/carriers/management.
Seniority
Senior, hands-on IC