**Job Title:** Claims Examiner - Workers Compensation **Duration:** 2-months **Location:** Remote (Must reside in CA) **Target Pay: $45** **Primary Purpose** To analyze complex or technically difficult workers' compensation claims to determine benefits due. This role involves managing high exposure claims that may involve litigation and rehabilitation, ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. Additionally, the position requires identifying subrogation of claims and negotiating settlements. **Manager's note:** Workers Compensation Claims Examiner (3+ years of California WC experience) - Out of state adjusters allowed as long as they have a minimum of 3 years California WC Experience **Essential Functions and Responsibilities** + Analyze and process complex workers' compensation claims by investigating and gathering information to determine claim exposure. + Manage claims through well-developed action plans to achieve appropriate and timely resolutions. + 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 filings within statutory limits. + Manage the litigation process to ensure timely and cost-effective claims resolution. + Coordinate vendor referrals for additional investigation and/or litigation management. + Utilize appropriate cost containment techniques, including strategic vendor partnerships, to reduce overall claim costs for 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 for direction 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 that claims coding is accurate. + Refer cases as appropriate to supervisor and management. **Qualifications** + Bachelor's degree from an accredited college or university preferred. + Professional certification applicable to the line of business preferred. + Five (5) years of claims management experience or an equivalent combination of education and experience required. If this is a role that interests you and you’d like to learn more, click apply now and a recruiter will be in touch with you to discuss this great opportunity. We look forward to speaking with you! **About ManpowerGroup, Parent Company of:** **Manpower, Experis, Talent Solutions, and Jefferson Wells** _ManpowerGroup® (NYSE: MAN), the leading global workforce solutions company, helps organizations transform in a fast-changing world of work by sourcing, assessing, developing, and managing the talent that enables them to win. We develop innovative solutions for hundreds of thousands of organizations every year, providing them with skilled talent while finding meaningful, sustainable employment for millions of people across a wide range of industries and skills. Our expert family of brands –_ **_Manpower, Experis, Talent Solutions, and Jefferson Wells_** _–_ creates substantial value for candidates and clients across more than 75 countries and territories and has done so for over 70 years. We are recognized consistently for our diversity - as a best place to work for Women, Inclusion, Equality and Disability and in 2022 ManpowerGroup was named one of the World's Most Ethical Companies for the 13th year - all confirming our position as the brand of choice for in-demand talent. ManpowerGroup is committed to providing equal employment opportunities in a professional, high quality work environment. It is the policy of ManpowerGroup and all of its subsidiaries to recruit, train, promote, transfer, pay and take all employment actions without regard to an employee's race, color, national origin, ancestry, sex, sexual orientation, gender identity, genetic information, religion, age, disability, protected veteran status, or any other basis protected by applicable law.