Workers' Compensation Claims Lead Examiner (REMOTE)

ADP

4.4

(608)

San Dimas, CA (Remote)

Why you should apply for a job to ADP:

  • Ranked as one of the Best Companies for Women in 2022
  • 4.4/5 in overall job satisfaction
  • 4.5/5 in supportive management
  • 91% say women are treated fairly and equally to men
  • 93% would recommend this company to other women
  • 92% say the CEO supports gender diversity
  • Ratings are based on anonymous reviews by Fairygodboss members.

    #256792

    Position summary

    clients, risk and safety, H.R. and other internal business partners.

    • Promotes interactive process and early return to work programs.

    • Perform regular reviews of claims by specified criteria on diary.

    • Provide regular reviews and provide feedback and recommendations for resolution of claim files as needed.

    REQUIRED SKILLS:

    • Possesses professional communication, both written and verbal to facilitate exceptional customer service and resolution for client complaints and issues.

    • Possesses the ability to research complex issues with internal and external parties in a professional, empathetic manner.

    • Ability to adhere to a daily schedule and organize yourself to deal with a high volume of inbounds calls and emails requiring responses within a reasonable period of time.

    • Excellent interpersonal and communication skills and the ability to work independently, discretely, handling information with confidentially.

    • Innovative and successful in implementing best practices for real, measurable results in performance, cost containment and overall efficiency.

    • Understanding of basic leave processes/law, FMLA, and other related subjects.

    • Proficient in the use of Excel, Outlook, Word and other Office suite programs.

    TO SUCCEED IN THIS ROLE: Required Qualifications

    • 7-10 years of workers compensation claims experience working in a client service/customer service environment rich with the use of state-of--the art predictive modeling, and metrics, data analytic tools and HRIS and claims systems.

    • Requires comprehensive knowledge of CA and western region state workers compensation administration, including applicable local, state and federal laws pertaining to WC insurance programs.

    • Possesses experience evaluating and recommending approval of claims reserves and settlements, designated expenditures and recovery forfeitures as needed.

    • Bachelor's degree or equivalent in experience

    BONUS POINTS FOR THESE: Preferred Qualifications

    • Comprehensive knowledge of western region states with general insurance policy coverage and state case laws.

    • Understands the ins and outs of workers compensation claims within a PEO environment.

    • Familiarity and use of Risktrac and Origami.

    • Southern CA area ideal.

    #LI-KD1

    #LI-Remote

    Base salary offers for this position may vary based on factors such as location, skills, and relevant experience. Some positions may include additional compensation in the form of bonus, equity or commissions. We offer the following benefits: Medical, Dental, Vision, Life Insurance, Matched Retirement Savings, Wellness Program, Short-and Long-Term Disability, Charitable Contribution Match, Holidays, Personal Days & Vacation, Paid Volunteer Time Off, and more. The compensation for this role is $57,100.00 - $116,100.00 / Year

    Diversity, Equity, Inclusion & Equal Employment Opportunity at ADP: ADP is committed to an inclusive, diverse and equitable workplace, and is further committed to providing equal employment opportunities regardless of any protected characteristic including: race, color, genetic information, creed, national origin, religion, sex, affectional or sexual orientation, gender identity or expression, lawful alien status, ancestry, age, marital status, protected veteran status or disability. Hiring decisions are based upon ADP's operating needs, and applicant merit including, but not limited to, qualifications, experience, ability, availability, cooperation, and job performance.

    Ethics at ADP: ADP has a long, proud history of conducting business with the highest ethical standards and full compliance with all applicable laws. We also expect our people to uphold our values with the highest level of integrity and behave in a manner that fosters an honest and respectful workplace. Click https://jobs.adp.com/life-at-adp/ to learn more about ADP's culture and our full set of values.

    Why you should apply for a job to ADP:

  • Ranked as one of the Best Companies for Women in 2022
  • 4.4/5 in overall job satisfaction
  • 4.5/5 in supportive management
  • 91% say women are treated fairly and equally to men
  • 93% would recommend this company to other women
  • 92% say the CEO supports gender diversity
  • Ratings are based on anonymous reviews by Fairygodboss members.