California Workers' Claims Specialist | Fully Remote

• Position California Workers' Compensation Claims Specialist | Fully Remote • Location Winona Lake • Our client is seeking to add a Senior Workers Compensation Claims Specialist to their remote team. This role will consist of handling moderate to complex California Workers Compensation Lost Time claims from inception to close. Qualified candidates must possess a strong knowledge in California Workers' Compensation claims law and have the ability to work-from-home. • Handle a pending of 90 - 105 moderate to complex California Workers Compensation lost time claims. • Research and formulate a basis on which coverage decisions will be made, conduct thorough investigations, manage medical treatment, influence early full return-to-work, guide litigation and control claim outcomes. • Negotiate settlements with injured workers and attorneys. • Responsibilities also include active file management, effective reserving practices, participation in training activities, presentation of serious claims to committee and supervision of litigated files. • Authorize and make payments of claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority. • Consistently exhibit a high level of customer service and adherence to department Best Practices. • Requirements • 3 - 7+ years of Workers Compensation Lost Time claims handling experience • Must be well versed in California Workers’ Compensation Law • Must have experience handling litigated files • Excellent Customer Service and Organizational skills. • High School Diploma; • Bachelor's Degree preferred but not required. • Salary/Benefits • $95,000 - $110,000 annual base salary plus bonus (depending on experience) • Competitive Medical, Dental, Vision and Life plans • Medical benefits effective on 1st day of employment • #J-18808-Ljbffr

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...