Associate Claims Examiner (Insurance)

TL;DR

Associate Claims Examiner (Insurance): Resolving low complexity workers’ compensation claims with an accent on CA state statutes and medical benefit administration. Focus on investigating claim eligibility, collaborating with medical and legal professionals, and managing the claim progression.

Location: Henderson, NV. US Work Authorization required (no visa sponsorship).

Company

hirify.global Group is a Fortune 500 holding company specializing in insurance, reinsurance, specialist advisory, and investment operations globally.

What you will do

• Resolve low complexity and low exposure claims.
• Investigate workers’ compensation claims to determine injured worker eligibility for benefits.
• Administer indemnity and medical benefits for valid claims.
• Manage the claims process through collaboration with physicians, nurses, and attorneys.
• Identify subrogation opportunities and initiate recovery efforts.
• Ensure all file handling adheres to state statutes and client guidelines.

Requirements

• Prior experience handling California workers’ compensation claims is required.
• Must be able to obtain and maintain CA claims handling certification.
• US Work Authorization required; no visa sponsorship provided now or in the future.
• Strong analytical, problem-solving, and time management skills.
• Intermediate proficiency in Microsoft Office (Excel, Outlook, PowerPoint, Word).
• Excellent written and oral communication skills.

Nice to have

• Experience handling workers’ compensation claims in AZ, CO, or UT.
• Professional insurance designation.
• Degree in business-related courses.
• Strong knowledge and understanding of medical terminology.

Culture & Benefits

• Comprehensive health, dental, and vision insurance plan options.
• 401(k) plan with employer match contributions.
• Employee Stock Purchase Plan.
• Paid Time Off (PTO), corporate holidays, and floating holidays.
• Parental leave.