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Sr Claim Examiner- WC

Folsom, CA

Posted: 07/28/2026 Job Number: 28968035

Job Description

Description:
  • Sr Claim Examiner- WC
  • 04-month contract with possible extension or conversion
  • Remote
 
Note: Must have multiple years'experience handling CA WC. Must work in PST hours .
 
Duties:
  • Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted. 
  • Manages all aspects of investigative activity on complex claims.
  • Directs the discovery and litigation strategy with legal counsel. 
  • Analyzes claims activity and prepares reports for clients/carriers and management. 
  • Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost-effective manner and ensuring timely issuance of disbursements. 
  • Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits. 
  • Develops subrogation and third-party recovery potential and follows reclaim procedures. 
  • Analyzes claims activities and prepares reports for clients, carriers and/or management.
  • Participates in claim reviews.
 
Skills:
  • Ability to work independently while assimilating various technical subjects. 
  • Strong written and oral communication, negotiation and presentation skills. 
  • Advanced analytical and problem-solving skills, with the ability to manage and prioritize multiple projects.
 
Education:
  • Bachelor's degree or equivalent experience required.
  • Comprehensive claims investigations/settling experience 1-3 years’experience in Claims or similar organization

Meet Your Recruiter

Ajeet Singh

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About Folsom, CA

Ready to take your career to new heights in Folsom, California? Dive into our job listings in this vibrant area nestled in the heart of beautiful Sacramento County. Folsom offers a perfect blend of stunning nature with the nearby Folsom Lake and picturesque trails, along with a bustling tech scene and a rich cultural heritage. Home to the iconic Folsom Prison and the Folsom Powerhouse State Historic Park, this city boasts a unique charm that's hard to resist. Explore opportunities in this thriving community near top-rated restaurants, the Harris Center for the Arts, and a short drive to the Golden 1 Center, home of the Sacramento Kings. Discover why Folsom is more than a place to work – it's a destination for growth and fulfillment!