Claims Examiner (Must be SIP Certified) Job Listing at Kelly Services in Pasadena, CA (Job ID US3538932_BH9744023)

Description

Feeling stuck? Put your career in motion with a great, new opportunity. Join the Kelly® team as a Claims Examiner (Must be SIP Certified) to work at a premier client in Remote (Pasadena, CA). We're here every step of the way to help you and your career be the best it can be. Bring your energy and expertise. We'll help you get where you want to be.
Salary/Pay Rate/Compensation: $49 per hour
Why you should apply to be Claims Examiner:

• Competitive pay rate of $49 per hour
• Opportunity to work remotely, offering flexibility and work-life balance
• Be part of a premier team with a strong industry standing
• Supportive and professional work environment

What's a typical day as Claims Examiner? You'll be:

• Analyzing and processing complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim
• Managing claims through well-developed action plans to an appropriate and timely resolution
• Negotiating settlement of claims within designated authority
• Calculating and assigning timely and appropriate reserves to claims; managing reserve adequacy throughout the life of the claim
• Calculating and paying benefits due; approving and making timely claim payments and adjustments; and settling claims within designated authority level
• Preparing necessary state filings within statutory limits
• Managing the litigation process; ensuring timely and cost-effective claims resolution
• Coordinating vendor referrals for additional investigation and/or litigation management
• Using appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients
• Managing claim recoveries, including subrogation, Second Injury Fund excess recoveries, and Social Security and Medicare offsets
• Reporting claims to the excess carrier; responding to requests of directions in a professional and timely manner
• Communicating claim activity and processing with the claimant and the client; maintaining professional client relationships
• Ensuring claim files are properly documented and claims coding is correct
• Referring cases as appropriate to supervisor and management

This job might be an outstanding fit if you:

• Have a Bachelor's degree from an accredited college or university (preferred)
• Possess professional certification as applicable to line of business (preferred)
• Have five (5) years of claims management experience or equivalent combination of education and experience
• Are a subject matter expert in appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business
• Have excellent oral and written communication, including presentation skills
• Are PC literate, including Microsoft Office products
• Have strong analytical and interpretive skills
• Possess strong organizational skills and good interpersonal skills
• Have excellent negotiation skills
• Are able to work in a team environment and meet or exceed Service Expectations

What happens next Once you apply, you'll proceed to next steps if your skills and experience look like a good fit. But don't worry—even if this position doesn't work out, you're still in our network. That means all of our recruiters will have access to your profile, expanding your opportunities even more.
Helping you discover what's next in your career is what we're all about, so let's get to work. Apply to be Claims Examiner today!

As part of our promise to talent, Kelly supports those who work with us through a variety of benefits, perks, and work-related resources. Kelly offers eligible employees voluntary benefit plans including medical, dental, vision, telemedicine, term life, whole life, accident insurance, critical illness, a legal plan, and short-term disability. As a Kelly employee, you will have access to a retirement savings plan, service bonus and holiday pay plans (earn up to eight paid holidays per benefit year), and a transit spending account. In addition, employees are entitled to earn paid sick leave under the applicable state or local plan. Click here for more information on benefits and perks that may be available to you as a member of the Kelly Talent Community.

Get a complete career fit with Kelly®.

You're looking to keep your career moving onward and upward, and we're here to help you do just that. Our staffing experts connect you with top companies for opportunities where you can learn, grow, and thrive. Jobs that fit your skills and experience, and most importantly, fit right on your path of where you want to go in your career.

About Kelly

Work changes everything. And at Kelly, we're obsessed with where it can take you. To us, it's about more than simply accepting your next job opportunity. It's the fuel that powers every next step of your life. It's the ripple effect that changes and improves everything for your family, your community, and the world. Which is why, here at Kelly, we are dedicated to providing you with limitless opportunities to enrich your life—just ask the 300,000 people we employ each year.

Kelly Services is proud to be an Equal Employment Opportunity and Affirmative Action employer. We welcome, value, and embrace diversity at all levels and are committed to building a team that is inclusive of a variety of backgrounds, communities, perspectives, and abilities. At Kelly, we believe that the more inclusive we are, the better services we can provide. Requests for accommodation related to our application process can be directed to Kelly's Human Resource Knowledge Center. Kelly complies with the requirements of California's state and local Fair Chance laws. A conviction does not automatically bar individuals from employment. Kelly participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.

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