Knowledge of California workers’ compensation laws and procedures consistent with statute, Title VIII, California Code of Regulations, and relevant case law. Understand claims administration from reporting of injuries to the provision of indemnity benefits and benefit notices; managing medical and medical-legal expenses; settlement and closing of claims. Knowledge of basic arithmetic (i.e., addition, subtraction, multiplication, division, decimals, percentages, and fractions) to determine the Average Weekly Wage, score, and penalty calculations.
Strong analytical skills to read and comprehend written materials (e.g., references, memos, letters, notes) to apply information and determine appropriate courses of action.
Proficiency with Microsoft Suite, primarily Word, Excel and PowerPoint applications.
Strong writing skills for preparing audit reports and strong verbal communication skills for engaging with audit subjects and other stakeholders.
Work effectively in a team setting to ensure assignments and activities of a team are completed within established timelines, and work cooperatively and productively as a member of a team to achieve a common goal.
Work independently on projects or assignments without close supervision or detailed instructions to achieve intended results.
Public speaking -conduct workshop presentations with claims administrators.
Take a lead role on audits and work multiple projects and/or assignments simultaneously.
Detail oriented-analyzing and evaluating situations to determine appropriate course of action.
Interpret and analyze numerical data accurately.
Flexibility with work environment, from telecommunicating to working at different locations.
Comfortable with overnight travel.
