Top Operations & Support Jobs in Los Angeles, CA

Investigates and manages workers compensation and other commercial claims, determines liability and compensability, evaluates losses, estimates costs, negotiates settlements, confirms coverage, communicates with policyholders, and maintains accurate claim files. The role includes comprehensive training and mentoring, with required onsite training in Plano, Texas and periodic office attendance depending on location.

Handles moderately complex to complex workers compensation claims from investigation through resolution. Responsibilities include determining coverage, liability, compensability, reserves, and damages; negotiating settlements; coordinating litigation; engaging experts; referring claims for subrogation or investigation; and attending legal proceedings. Provides technical guidance, mentorship, quality review participation, and support with caseload management and claim team activities.

Handles moderately complex to complex workers’ compensation claims from investigation through resolution. Responsibilities include determining coverage, liability, compensability, reserves, and damages; negotiating settlements; coordinating litigation; engaging experts; referring claims for subrogation or investigation; attending trials; and mentoring team members. The role requires direct lost-time and litigated claims experience, applicable licenses, knowledge of claims investigation, medical terminology, and legal aspects of claims.

Investigates and manages moderately complex to complex workers compensation claims, determining coverage, liability, compensability, reserves, damages, and settlements. Coordinates litigation, experts, mediations, arbitrations, and field investigations; refers cases to subrogation or special investigations teams. Provides technical guidance, mentors and trains team members, assists with workload allocation, and participates in quality reviews and claim committees.

Handle moderately complex to complex workers' compensation claims: investigate, determine liability/compensability, set reserves, negotiate settlements, coordinate litigation, mentor team members, and participate in quality reviews and special investigations.

Manage workers' compensation claims from investigation through resolution, determining liability, coverage, reserves, and negotiating settlements. Coordinate experts and litigation activities, mentor team members, participate in quality reviews, mediations, and field investigations, and assist managers with caseload assignments and technical direction.

Handle moderately complex to complex workers' compensation claims from investigation through resolution. Determine liability/compensability, evaluate damages, set and adjust reserves, negotiate settlements, coordinate litigation and external experts, attend trials, mentor team members, and participate in quality reviews and claim-related committees and investigations.