FREE ACCESS
5,000–10,000 jobs/day
See all jobs on Scoutfield
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in California workers' compensation claims management, including investigation, negotiation, and litigation processes. Proficient in calculating reserves, processing payments, and ensuring compliance with jurisdictional requirements.
Highest-signal resume keywords
California Workers' Compensation Claims ManagementLitigated Claims HandlingNegotiation of SettlementsReserve Calculation and ManagementSIP Certification
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims AnalysisClaims InvestigationClaims AdjudicationStatutory Filings PreparationBenefit CalculationPayment ProcessingSubrogation Claims IdentificationAction Plan ManagementClaims ResolutionReserve Adequacy Management
Soft Skills
Excellent JudgmentProblem SolvingClear ThinkingAbility to Handle StressTime Management
Certifications & Qualifications
SIP CertificationProfessional Certification
Industry Keywords
California Jurisdictional RequirementsWorkers' CompensationClaims ManagementLitigation ProcessClient Service Requirements
About the role
Key responsibilities & impact- Analyze and process complex or technically difficult California workers' compensation claims
- Investigate claims and gather information to determine claim exposure
- Manage claims through action plans to timely and appropriate resolution
- Negotiate claim settlements within designated authority
- Calculate and assign timely, appropriate reserves and manage reserve adequacy
- Calculate and pay benefits due; approve and make timely claim payments and adjustments
- Settle claims within designated authority level
- Prepare necessary state filings within statutory limits
- Manage the litigation process and ensure timely, cost-effective claims resolution
- Report claims to the excess carrier and respond to requests for direction
- Identify subrogation claims and negotiate settlements
- Adjudicate claims within service expectations, industry best practices, and client service requirements
Requirements
What you’ll need- Four (4) years of California workers compensation claims management experience or equivalent combination of education and experience required
- California workers' compensation experience
- Experience handling litigated and high-exposure claims
- Knowledge of California jurisdictional requirements required
- SIP required or must be obtained within one year of hire date
- Bachelor's degree from an accredited college or university preferred
- Professional certification as applicable to line of business preferred
- Ability to investigate claims and gather information to determine exposure
- Ability to manage litigation and negotiate settlements
- Ability to calculate reserves and benefits, process payments and adjustments
- Ability to prepare necessary state filings within statutory limits
- Clear and conceptual thinking ability
- Excellent judgment, troubleshooting, problem solving, analysis, and discretion
- Ability to handle work-related stress and multiple priorities simultaneously
- Ability to meet deadlines
- Computer keyboarding ability
- Hearing, vision, and talking abilities
Benefits
Comp & perks- Flexible work schedule
- Referral incentive program
- Career development and promotional growth opportunities
- Medical, dental, and vision coverage
- 401(k) and matching
- Paid time off (PTO)
- Disability and life insurance
- Employee assistance
- Flexible spending or health savings account
- Other additional voluntary benefits
- Hybrid work arrangement
- Reasonable accommodations where applicable and appropriate