Workers Compensation Claims Examiner

Description

Job schedule - full time in office then hybrid 3 days in office 2 days work from home. In office Tues-Thurs WFH Monday/Friday

• Work schedule-800am-4:30pm PCT--1/2 hour lunch break
• Free parking and public transportation is available
• Portland address, but closer to Tigard-right off the highway
• Major Duties & Responsibilities
• Under limited supervision receives assignments and reviews claim and policy information to provide background for investigation and may determine the extent of the policy's obligation to the insured depending on the line of business.
• Contacts interviews and obtains statements from insureds claimants witnesses physicians attorneys police officers etc. to secure necessary claim information.
• Evaluates facts supplied by investigation to determine extent of liability of the insured if any and extent of the company's obligation to the insured under the policy contract.
• Prepares reports on investigation settlements denials of claims individual evaluation of involved parties etc.
• Sets reserves within authority limits and recommends reserve changes to Team Leader.
• Prepares and submits to Team Leader unusual or possible undesirable exposures.
• Settles claims promptly and equitably.
• Obtains releases proofs of loss or compensation agreements and issues company drafts in payments for claims.
• Informs claimants insureds/customers or attorney of denial of claim when applicable.
• Desired Qualifications
• 2 or more years experience handling workers compensation claims. CA Claims a plus!
• Strong communication and interpersonal skills to effectively interact with claimants customers insureds brokers attorneys etc. in a positive manner regarding losses.
• Ability to self-motivate and work independently.
• Knowledge of company products services coverages and policy limits along with awareness of the company's claims best practices.
• Job Type & Location

This is a Contract position based out of Portland, OR.

Pay and Benefits

The pay range for this position is $46.00 - $48.00/hr.

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)
• Workplace Type

This is a hybrid position in Portland, OR.

Application Deadline

This position is anticipated to close on Jul 24, 2026.

Equal Opportunity Statement

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance

For all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment.

An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI)

We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates.

AI helps assess applications and qualifications, but final decisions are made by our hiring team.

By applying, you acknowledge and agree that your application may be reviewed using AI tools.

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