Job TitlePay Range: $45hr - $50hrRequirement/Must Have:3+ years of California WC experience.SIP Certification.Credit security clearance, confirmed via a background credit check.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 filings 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.Manages 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.Nice to Have:Supports the organization's quality program(s).Travels as required.Education and Experience:Bachelor's degree from an accredited college or university preferred.Professional certification as applicable to line of business preferred.5+ years of claims management experience or equivalent combination of education and experience required.