Keenan & Associates
Senior Claims Examiner, Workers' Compensation
Keenan & Associates, Torrance, California, United States, 90504
Overview
Administer indemnity claims and handle complex claim issues. Use strong litigation management experience, lien resolution abilities, and customer service skills to resolve routine claims without legal representation. Keenan, an Accretive company, is an insurance brokerage and consulting firm meeting the insurance needs of hospitals, public entities, and California school districts. Keenan specializes in providing consulting services in the areas of employee benefits, workers' compensation, loss control, financial, and property & liability. What You'll Do
Maintain current diary. Identify, prevent, and mitigate potential penalties. Update claim notes in the computer system. Provide timely reporting of excess files to the Reinsurance Manager. Report SIU/Fraud cases. Identify and pursue subrogation opportunities. Complete Rehab forms, benefit notices, SJDB, RTW forms. Refer all PRIME deletions only to the designated office personnel. Update reserves within 30 days of receiving information that modifies the financial exposure of a claim. Prepare for and attend file reviews. Accept or deny delayed claims within 90 days. Request settlement authorization/notification within 30 days of a final P&S report and prior to the MSC date. Complete Stipulation and/or Settlement and Release paperwork. Maintain a 100% closing ratio on active accounts and reduce runoff accounts by 25% annually. Prepare legal referrals, provide direction to, and monitor defense attorneys. Return all phone calls within 24 hours. Complete instruction sheets for assistants, technicians, and claims entry clerks. Review mail daily. Correct error reports daily. Maintain client/claimant satisfaction. Update Unit Stat forms. Oversee new set-ups, reserves, and instruction sheets. Prepare cover letters to AME/defense QME, AOE/COE evaluations. Negotiate outstanding liens. Make 3-point contact. File Answer/Application. Interact with nurses on case management. Perform other duties as assigned. What You'll Need
Minimum of five (5) years of California Workers' Compensation Claims Examiner experience and a Self-Insurance Certificate, or the ability to pass the Self-Insurance Test within one (1) year of hire. WCCP preferred. Two (2) years of experience handling public entity claims is preferred. Effective verbal and written communication skills. Proficiency in Microsoft Outlook, Excel, PowerPoint, and Word. Ability to access business data from the Internet as required. What's in it For You?
To help you make the best decision for your personal growth, we want to share what we offer our top asset—our people: Competitive base salary. Generous 30+ days of comprehensive paid time off, including PTO, 10 company holidays, 2 floating holidays, 5 sick days, and 2 volunteer days. Health benefits with five affordable medical plans, company-paid HSA contributions with eligible plans, two dental plans including orthodontia coverage and three annual cleanings, and two vision plans. Company match 401(k) plan—50% match up to 6% of salary. Support for fitness and wellness goals, with discounts at over 11,000 gyms and fitness centers. Access to 24/7 licensed therapists for mental health support. Pet benefits and discounts. Participation in Employee-led Resource Groups (ERGs) that represent diverse demographics within our company. Compensation: The target salary range for this position is $75,000 to $105,000 annually. Actual salary depends on education, experience, skills, abilities, internal equity, and market data. Salary may be adjusted based on geographic location. Remote work flexibility is available, but candidates must have California workers' compensation claims experience. Grow with us
Accretive
is a collection of elite specialty and wholesale agencies supported by experienced industry leaders. Our expertise is broad, and our culture is innovative. We value relationships above all else and deliver customized solutions and service you can trust. Accretive
is passionate about fostering innovation and growth. We seek creative, dynamic individuals who want to develop their careers while helping businesses, families, and individuals thrive. We are proud to be one of the largest brokers in the country, but even prouder of the honest, caring relationships our employees build with clients daily. Working with us offers you the opportunity to do meaningful work, learn, advance, and grow. We are committed to diversity, equity, and inclusion to create a welcoming workplace that values the unique experiences and contributions of all team members. We aim to bring the best talent forward to drive growth, innovation, and bigger thinking.
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Administer indemnity claims and handle complex claim issues. Use strong litigation management experience, lien resolution abilities, and customer service skills to resolve routine claims without legal representation. Keenan, an Accretive company, is an insurance brokerage and consulting firm meeting the insurance needs of hospitals, public entities, and California school districts. Keenan specializes in providing consulting services in the areas of employee benefits, workers' compensation, loss control, financial, and property & liability. What You'll Do
Maintain current diary. Identify, prevent, and mitigate potential penalties. Update claim notes in the computer system. Provide timely reporting of excess files to the Reinsurance Manager. Report SIU/Fraud cases. Identify and pursue subrogation opportunities. Complete Rehab forms, benefit notices, SJDB, RTW forms. Refer all PRIME deletions only to the designated office personnel. Update reserves within 30 days of receiving information that modifies the financial exposure of a claim. Prepare for and attend file reviews. Accept or deny delayed claims within 90 days. Request settlement authorization/notification within 30 days of a final P&S report and prior to the MSC date. Complete Stipulation and/or Settlement and Release paperwork. Maintain a 100% closing ratio on active accounts and reduce runoff accounts by 25% annually. Prepare legal referrals, provide direction to, and monitor defense attorneys. Return all phone calls within 24 hours. Complete instruction sheets for assistants, technicians, and claims entry clerks. Review mail daily. Correct error reports daily. Maintain client/claimant satisfaction. Update Unit Stat forms. Oversee new set-ups, reserves, and instruction sheets. Prepare cover letters to AME/defense QME, AOE/COE evaluations. Negotiate outstanding liens. Make 3-point contact. File Answer/Application. Interact with nurses on case management. Perform other duties as assigned. What You'll Need
Minimum of five (5) years of California Workers' Compensation Claims Examiner experience and a Self-Insurance Certificate, or the ability to pass the Self-Insurance Test within one (1) year of hire. WCCP preferred. Two (2) years of experience handling public entity claims is preferred. Effective verbal and written communication skills. Proficiency in Microsoft Outlook, Excel, PowerPoint, and Word. Ability to access business data from the Internet as required. What's in it For You?
To help you make the best decision for your personal growth, we want to share what we offer our top asset—our people: Competitive base salary. Generous 30+ days of comprehensive paid time off, including PTO, 10 company holidays, 2 floating holidays, 5 sick days, and 2 volunteer days. Health benefits with five affordable medical plans, company-paid HSA contributions with eligible plans, two dental plans including orthodontia coverage and three annual cleanings, and two vision plans. Company match 401(k) plan—50% match up to 6% of salary. Support for fitness and wellness goals, with discounts at over 11,000 gyms and fitness centers. Access to 24/7 licensed therapists for mental health support. Pet benefits and discounts. Participation in Employee-led Resource Groups (ERGs) that represent diverse demographics within our company. Compensation: The target salary range for this position is $75,000 to $105,000 annually. Actual salary depends on education, experience, skills, abilities, internal equity, and market data. Salary may be adjusted based on geographic location. Remote work flexibility is available, but candidates must have California workers' compensation claims experience. Grow with us
Accretive
is a collection of elite specialty and wholesale agencies supported by experienced industry leaders. Our expertise is broad, and our culture is innovative. We value relationships above all else and deliver customized solutions and service you can trust. Accretive
is passionate about fostering innovation and growth. We seek creative, dynamic individuals who want to develop their careers while helping businesses, families, and individuals thrive. We are proud to be one of the largest brokers in the country, but even prouder of the honest, caring relationships our employees build with clients daily. Working with us offers you the opportunity to do meaningful work, learn, advance, and grow. We are committed to diversity, equity, and inclusion to create a welcoming workplace that values the unique experiences and contributions of all team members. We aim to bring the best talent forward to drive growth, innovation, and bigger thinking.
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