Sr Claims Examiner (PH)

The Walt Disney Company • Anaheim, CA • 57min ago

At The Disneyland Resort, you'll help inspire that magic by enabling our teams to push the limits of Risk Management and create the magic of handling claims and supporting the various Risk Management functions the Disney way!

As part of the Risk Management Services team, a Workers' Compensation Examiner, in collaboration with all the resources available, ensures access to any and all benefits necessary to cure or relieve the effects of an occupational injury or illness. The Workers' Compensation Examiner administers these benefits as required by the California Labor Code. Effectively works with the injured Cast Member and provider to facilitate the Cast Member's recovery while mitigating risk. This is a highly dynamic and collaborative role that requires outstanding customer service and communication skills with an understanding of the importance of brand management.

Responsibilities

Administer Worker's Compensation benefits to injured Cast Members to include investigation, review/analysis of medical reports, arranging medical exams, and rate permanent disability.

Effectively communicates with Cast Members, physicians, attorneys and other providers.

Appropriately establish case reserves according to California Self- Insurance Plans and department guidelines.

Drives and coordinates proactive litigation efforts for expeditious resolution which includes setting cases for hearing, identifying issues and proceeding with appropriate defenses, and partnering with in-house Hearing Representatives or outside defense counsel.

Oversee the provision of Vocational Rehabilitation benefits with a focus on returning Cast Members to gainful employment.

Actively pursue final resolution of claims via settlement, venue selection, executing all pertinent documents, and obtaining WCAB approval.

Basic Qualifications

Minimum of 5 years' experience in administering occupational claims in California

California Self-Insurance Plans Administrator Certification

Proficient understanding of the key elements of the California Labor Code

Strong analytical skills in evaluating liability and setting of appropriate reserves and plans of action

Provides detailed evaluation and permanent disability rating skills

Utilizes excellent time management skills demonstrated by the ability to prioritize multiple issues and ensure timely completion of work in accordance with department expectations and objectives.

Proficient and appropriate use of automated claims management systems, paperless document management systems, and multiple web access portals.

Showcases effective skills in listening, verbal and written communication skills.

Demonstrates effective collaborative work within multifaceted teams.

Maintains frequent contact with multiple stakeholders including the injured Cast Member, area management, department management, medical providers, attorneys and other professionals involved in the administration of the claims.

Professional, courteous and positive demeanor while working with multiple stakeholders.

Requires ability to work effectively within established levels of authority, seeking out supervision as needed or required by internal procedures and guidelines.

Education/Skills

High School Diploma or equivalent

Preferred qualifications

Preferred Certifications such as IEA, WCCP, CPDM

Bilingual - English/Spanish preferred

Bachelor's degree

The hiring range for this position in California is $87,100 to $116,800 per year. The base pay actually offered will take into account internal equity and also may vary depending on the candidate's geographic region, job-related knowledge, skills, and experience among other factors. A bonus and/or long-term incentive units may be provided as part of the compensation package, in addition to the full range of medical, financial, and/or other benefits, dependent on the level and position offered.

Job ID: 10160221

Location: Anaheim,California

Job Posting Company: Disneyland Resort

The Walt Disney Company and its Affiliated Companies are Equal Employment Opportunity employers and welcome all job seekers including individuals with disabilities and veterans with disabilities. If you have a disability and believe you need a reasonable accommodation in order to search for a job opening or apply for a position, email Candidate.Accommodations@Disney.com with your request. This email address is not for general employment inquiries or correspondence. We will only respond to those requests that are related to the accessibility of the online application system due to a disability.

Similar Jobs

Senior Manager, Finance Managed Services - Controllership & Record-to-Report | Financial Services Industry

Deloitte • Los Angeles, CA • 31min ago

Finance, Accounting & Banking

Step into a role where you will help shape the future of finance. As part of Deloitte's Finance Operate team, you will work with CFOs, controllers, and finance leaders to address complex finance and accounting challenges...

31min ago

Go to Apply

Private Banker

City National Bank • Los Angeles, CA • 34min ago

Finance, Accounting & Banking

PRIVATE BANKER WHAT IS THE OPPORTUNITY? Develops and manages client relationships with high- net- worth and ultra-high-net-worth individuals and families within a specific market. Provide integrated financial services ad...

34min ago

Go to Apply

Accounts Payable Specialist

Robert Half • Santa Fe Springs, CA • 16h ago

Finance, Accounting & Banking

Description We are looking for a detail-oriented Accounts Payable Specialist to support an organization in Santa Fe Springs, California. This role focuses on accurate data entry, and purchase order creation within a busy...

16h ago

Go to Apply

Sr. Accountant

Robert Half • Costa Mesa, CA • 17h ago

Finance, Accounting & Banking

Description We are looking for an experienced Sr. Accountant to join a team in Costa Mesa, California on a Long-term Contract basis. This position will play a key role in maintaining accurate financial records, guiding t...

17h ago

Go to Apply

FRONT END/BOOKKEEPER

Kroger Family of Companies • Los Angeles, CA • 18h ago

Finance, Accounting & Banking

Create an outstanding customer experience through exceptional service. Establish and maintain a safe and clean environment that encourages our customers to return. Embrace the Customer 1st strategy and encourage associat...

18h ago

Go to Apply

Oracle Finance Manager

Deloitte • Costa Mesa, CA • 21h ago

Finance, Accounting & Banking

Today's CFOs and financial leaders face increasing demands to enhance business performance, drive shareholder value, and optimize operational efficiency. As an Oracle Manager at Deloitte, you will help clients define the...

21h ago

Go to Apply

Oracle Finance Manager

Deloitte • Los Angeles, CA • 21h ago

Finance, Accounting & Banking

21h ago

Go to Apply

Oracle Finance Senior Consultant

Deloitte • Los Angeles, CA • 22h ago

Finance, Accounting & Banking

Today's CFOs and financial leaders face increasing demands to enhance business performance, drive shareholder value, and optimize operational efficiency. As an Oracle Senior Consultant at Deloitte, you will help clients...

22h ago

Go to Apply

Oracle Finance Senior Consultant

Deloitte • Costa Mesa, CA • 22h ago

Finance, Accounting & Banking

22h ago

Go to Apply

Business Manager Credit Solutions Senior

City National Bank • Los Angeles, CA • 23h ago

Finance, Accounting & Banking

BUSINESS MANAGER CREDIT SOLUTIONS SENIOR WHAT IS THE OPPORTUNITY? The Credit Solutions Business Manager Senior is a strategic partner to the Head of Credit Solutions, driving portfolio risk management strategy, underwrit...

23h ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)