Calabasas, CA, USA
39 days ago
Medical Only Examiner - Workers' Comp

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group’s member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 35 specialty property and casualty operations, there are always opportunities here to learn and grow.

We value diversity and recognize the benefits gained when people from different cultures, backgrounds and experiences work collaboratively to achieve business results. We are intentionally focused on fostering an inclusive culture and know valuing diversity is an essential leadership quality. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best.

At Republic Indemnity, we’ve been helping businesses in the western U.S. manage their Workers’ Compensation costs for over 50 years.  Headquartered in Calabasas, California with additional offices in San Francisco and San Diego, we write workers compensation primarily in CA with significant business in AK, AZ, NV, and other western states.  Whether it’s helping a broker, policyholder, injured worker, or a colleague, Republic is all about creating a clear way forward so people can reach their goals. If you share that vision, we’d love to talk with you about our exiting opportunity for Workers’ Compensation Medical Only Claims Adjuster.

This position is based in our Calabasas office with a hybrid schedule of a minimum of 1 day per week in the office.Essential Job Functions and ResponsibilitiesOrganizes assigned work and performs Claims processing and payment functions on large volumes of claims for one or more lines:Composes, prepares, reviews, and responds to correspondence.Answers and responds to inquiries and gathers information.May perform mail/file functions.  Utilizes the company system(s) to identify the appropriate recipient of correspondence within or outside the company.  Sorts and distributes mail.  Maintains/purges documents according to record retention guidelines and distributes files/file systems.Performs general processing, may include updating manuals.May assist with claims numbers, claims setup and entry, electronic imaging or indexing, statistical coverage verification, preparation/entry of claims transactions, preparation/processing recovery, and processing drafts and forms.May perform systems functions, including determining errors/corrections on company system(s).May coordinate/maintain contractor system, assigned manuals, repetitive payment schedule, and bulk billing system.May receive/verify information on loss reports and expense and/or medical bills.May perform calculations to evaluate benefits, such as for mileage, wages, disability, or reimbursement payments.Assists Claims staff in setting up appointments, keeping records, performing routine follow-up, and ensuring that bills are sent out.Provides support to Claims department in areas requiring specialized skills or knowledge.Enters information into company system(s).Prepares, orders, and maintains records, reports, registers and schedules.Updates claims files and maintains, corrects and/or updates data using office technology.May assist in training less experienced Claims Processors.Performs other duties as assigned.

Job RequirementsEducation: High school diploma or equivalentExperience: Generally, 4 to 6 years of related experience.

Company:

RICA Republic Indemnity Company of America


Salary Range:

$27.50 -$32.50

Benefits:

The wage range for this job is based on role, level, and location. Within the range, individual pay takes into account a variety of factors that are considered in making compensation decisions including but not limited to skills, education, training, licensure and certifications, experience of the candidate, the role's scope, complexity, and other business and organizational needs. In addition to the base compensation, we offer a competitive Total Rewards package, which includes but is not limited to medical, dental, vision, paid time off, and 401(k) plan for full-time and part-time employees who are eligible for benefits.

Your recruiter may be able to tell you more about our total rewards offerings and the specific wage range for the relevant location(s) during the hiring process.

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