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Claims Specialist

Fresno, CA

Posted: 05/10/2024 Job Number: 22161937

Job Description

Role: Claims Specialist-WC
Location: Fresno CA (Remote)
Duration: 02+ Month Contract (Possible Extension)
Job Duties:
  • Conducts investigations of claims to confirm coverage and to determine liability, compensability, and damages.
  • Works closely with claimants, witnesses and members of the medical profession and other persons pertinent to the investigation and processing of claims.
  • Verifies policy coverage for submitted claims and notifies the insured of any issues;determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim.
  • Identifies wage loss expenses and wage exposures on medical claims.
  • Documents receipt and contents of medical reports.
  • Interacts frequently with claimant to understand nature and extent of injury and medical conditions.
Demonstrates a customer-focused approach including the ability to identify and understand customer needs and interacts effectively with others.
  • College degree or the equivalent of education and experience.
  • Knowledge of claims and familiarity with claims terminology gained through industry experience and/or through specialized courses of study (Associate in Claim designation, etc).
  • Must have or secure and maintain the appropriate license(s) as required by the state(s) at the adjuster/supervisory/management level.
  • Must possess a valid driver's license.

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About Fresno, CA

Ready to embark on an exciting career journey in Fresno, California? Explore our job opportunities in this vibrant city nestled in the heart of the fertile San Joaquin Valley. Fresno offers job seekers a rich tapestry of unique benefits and growth opportunities. Imagine starting your day with a stroll through the stunning Forestiere Underground Gardens, savoring the area's delicious blend of Central Valley cuisine, and catching a show at the iconic Tower Theatre. With its thriving arts scene, proximity to Yosemite National Park, and home to the Fresno State Bulldogs, there's something for everyone in this charming city. Start your career in Fresno today and discover why this region is a hidden gem for aspiring professionals.