Job Title: Workers' Compensation Claims Analyst **Location:** Remote Set up **Job Type:** Full-time, Contract **Job Description:** We are seeking a skilled **Workers' Compensation Claims Analyst** to join our team. The ideal candidate must have: + A minimum of 3 years of relevant California Workers' Compensation claims experience + California WC Claims handling experience + OSIP certification The role involves analyzing complex or technically difficult workers' compensation claims to determine benefits due, working with high exposure claims involving litigation and rehabilitation, and ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. Additionally, you will identify subrogation of claims and negotiate settlements. **Primary Purpose:** To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements; and to identify subrogation of claims and negotiate settlements. **Essential Functions and Responsibilities:** + Analyze and process complex or technically difficult workers' compensation claims by investigating and gathering information to determine exposure on the claim. + Manage claims through well-developed action plans to an appropriate and timely resolution. + Negotiate settlement of claims within designated authority. + Calculate and assign timely and appropriate reserves to claims; manage reserve adequacy throughout the life of the claim. + Calculate and pay benefits due; approve and make timely claim payments and adjustments; settle claims within designated authority level. + Prepare necessary state fillings within statutory limits. + Manage the litigation process; ensure timely and cost-effective claims resolution. + Coordinate vendor referrals for additional investigation and/or litigation management. + Use appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manage claim recoveries, including subrogation, Second Injury Fund excess recoveries, and Social Security and Medicare offsets. + Report claims to the excess carrier; respond to requests of directions in a professional and timely manner. + Communicate claim activity and processing with the claimant and the client; maintain professional client relationships. + Ensure claim files are properly documented and claims coding is correct. + Refer cases as appropriate to supervisor and management. **Additional Functions and Responsibilities:** + Perform other duties as assigned. + Support the organization's quality program(s). + Travel as required. **Qualifications:** + **Education & Licensing:** Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to the line of business preferred. + **Experience:** Three (3) years of claims management experience or equivalent combination of education and experience required. **Skills & Knowledge:** + Subject matter expert in appropriate insurance principles and laws for the line-of-business handled, recoveries offsets, and deductions. + Excellent oral and written communication, including presentation skills. + PC literate, including Microsoft Office products. + Analytical and interpretive skills. + Strong organizational skills and good interpersonal skills. + Excellent negotiation skills. + Ability to work in a team environment. + Ability to meet or exceed Service Expectations. **Work Environment:** + **Mental:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem-solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. + **Physical:** Computer keyboarding; travel as required. + **Auditory/Visual:** Hearing, vision, and talking. 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 (https://www.mykelly.com/help-support-working-with-kelly-us/#Benefits) 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. 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.