Examiner

• Manage claims during the early phase of the claim lifecycle, typically the first 10 days
• Administer benefits to injured workers according to statutory case law and regulations
• Contact and interview injured workers, witnesses, medical providers, attorneys, agents, and policyholders
• Communicate claim activity and processing with injured workers and policyholders
• Make initial compensability recommendations and evaluate benefit eligibility
• Create reserves in a timely manner
• Establish accurate claim setup, including coding, documentation, and file notes
• Identify risks, complexities, or escalation needs and refer matters to leadership
• Develop initial action plans and set claim diaries
• Ensure timely transition of claims to specialized claim examiners with clear documentation and next steps

Examiner jobs in California

Triage Examiner