Finding a job that fits your lifestyle isn’t always easy. That’s where Kelly® comes in. We’re seeking Claims Specialist – Workers Compensation to work in a leading provider of technology-enabled risk, benefits, and integrated business solutions company in Ontario, CA. Sound good? Take a closer look below. We’re here to help you find something great that works for you—so you won’t miss a moment of what really matters in your life.

Why you should apply to be a Claims Specialist – Workers Compensation:

Opportunity to work with a reputable integrated business solutions company 
Convenient 8 working hours per day M-F (Allowed to work remotely). 
Remote position offering work-life balance.
Current pay rate is $49.07/hr.

What’s a typical day as a Claims Specialist. You’ll be:

Essential Duties and Responsibilities

Analyzes and processes complex or technically difficult workers’ compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution. 
Negotiates settlement of claims within designated authority. 
Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim. 
Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles claims within designated authority level. 
Prepares necessary state fillings within statutory limits. 
Manages the litigation process; ensures timely and cost-effective claims resolution. 
Coordinates vendor referrals for additional investigation and/or litigation management. 
Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. 
Manage claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. 
Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner. 
Communicates claim activity and processing with the claimant and the client; maintains professional client relationships. 
Ensures claim files are properly documented and claims coding is correct. 
Refers cases as appropriate to supervisor and management. 
Performs other duties as assigned. 
Supports the organization’s quality program(s). 
Travels as required.

This job might be an outstanding fit if you have:

Bachelor’s degree from an accredited college or university preferred.
Minimum 3 years of relevant CA Workers Compensation experience.
Public entity and County of Los Angeles 
SIP is mandatory. SIP (Self-Insurance Administrator) Certification
Professional certification as applicable to line of business preferred.

What happens next

Once you apply, you’ll proceed to the next steps if your skills and experience look like a good fit. But don’t worry—even if this position doesn’t work out, you’re still in our network. That means all of our recruiters will have access to your profile, expanding your opportunities even more.

Helping you discover what’s next in your career is what we’re all about, so let’s get to work. Apply to be a Claims Specialist – Workers Compensation today!

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