Description
Claims Examiner
About the Role
Kelly® is seeking an experienced Claims Examiner – Workers' Compensation to join our team supporting a leading insurance organization. In this position, you'll analyze and manage complex or high-exposure claims, ensuring accurate adjudication, compliance, and cost-effective resolutions. This role combines analytical skill, empathy, and strategic thinking to deliver excellence in claims management.
Location: Remote or Onsite (U.S.)
Employment Type: Full-time Contract
Pay Rate: $50 – $52 per hour (based on experience)
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Analyze and process complex or technically difficult workers' compensation claims by investigating and gathering critical information.
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Develop and execute effective action plans to bring claims to a timely, appropriate resolution.
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Assign, monitor, and adjust claim reserves to maintain accuracy throughout the claim's lifecycle.
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Approve and issue benefits payments, settlements, and claim adjustments within authority limits.
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Prepare required state filings in compliance with statutory guidelines.
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Manage litigation, coordinate vendor referrals, and ensure cost-effective claim resolution.
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Identify opportunities for subrogation and recoveries, including excess and Social Security/Medicare offsets.
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Maintain detailed claim documentation and ensure correct coding.
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Communicate professionally with claimants, clients, and internal stakeholders, providing status updates and support.
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Education: High school diploma or GED required; bachelor's degree preferred.
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Experience: Minimum 3+ years of relevant workers' compensation claims experience (5 years preferred).
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Certification: Active California Adjuster Certification required.
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Technical Skills:
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Strong understanding of workers' compensation principles, laws, and best practices.
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Proficiency in Microsoft Office and claims management systems.
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Strong negotiation, analytical, and organizational abilities.
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Excellent written and verbal communication skills.
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Competitive pay and weekly direct deposit.
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Opportunity to gain experience with one of the most respected names in the insurance industry.
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Supportive, collaborative work environment that values your expertise.
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Career growth opportunities through Kelly's extensive professional network.
As part of our promise to talent, Kelly supports those who work with us through a variety of benefits, perks, and work-related resources. Kelly offers eligible employees voluntary benefit plans including medical, dental, vision, telemedicine, term life, whole life, accident insurance, critical illness, a legal plan, and short-term disability. As a Kelly employee, you will have access to a retirement savings plan, service bonus and holiday pay plans (earn up to eight paid holidays per benefit year), and a transit spending account. In addition, employees are entitled to earn paid sick leave under the applicable state or local plan. Click here for more information on benefits and perks that may be available to you as a member of the Kelly Talent Community.
Get a complete career fit with Kelly®.
You're looking to keep your career moving onward and upward, and we're here to help you do just that. Our staffing experts connect you with top companies for opportunities where you can learn, grow, and thrive. Jobs that fit your skills and experience, and most importantly, fit right on your path of where you want to go in your career.About Kelly
Work changes everything. And at Kelly, we're obsessed with where it can take you. To us, it's about more than simply accepting your next job opportunity. It's the fuel that powers every next step of your life. It's the ripple effect that changes and improves everything for your family, your community, and the world. Which is why, here at Kelly, we are dedicated to providing you with limitless opportunities to enrich your life—just ask the 300,000 people we employ each year.Kelly is committed to providing equal employment opportunities to all qualified employees and applicants regardless of race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, age, marital status, pregnancy, genetic information, or any other legally protected status, and we take affirmative action to recruit, employ, and advance qualified individuals with disabilities and protected veterans in the workforce. Requests for accommodation related to our application process can be directed to the Kelly Human Resource Knowledge Center. Kelly complies with the requirements of California's state and local Fair Chance laws. A conviction does not automatically bar individuals from employment. Kelly participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.
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