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Adjudicate complex California workers' compensation claims, investigate exposures, negotiate settlements within authority, communicate with claimants/clients, report to excess carriers, manage litigation and rehabilitation issues, and meet service/client requirements.

Review and establish leave of absence claims (FMLA, state, military, company-specific), determine eligibility and benefits, communicate decisions to claimants and clients, track documentation, and ensure compliance with client plans and regulations while meeting quality and service standards.

Analyze and process FMLA and paid leave claims, determine eligibility and benefits, calculate and issue payments/adjustments, communicate with claimants and clients, and maintain documentation and client relationships within service standards.

Analyze and establish FMLA and other unpaid leave claims, determine eligibility and certification per client plans and regulations, track documentation, communicate decisions to claimants and clients, maintain quality standards, provide excellent customer service, and perform additional duties as assigned.

Establishes and analyzes FMLA and other unpaid leave claims to determine eligibility and benefits per client plans and regulations. Maintains documentation and claims system coding, communicates decisions to claimants and clients, and ensures compliance with quality and service standards.

Provide general office administration support: type form letters, maintain and locate claim files, process packets, perform data entry, prepare spreadsheets/documents, answer phones, manage supplies and mail/faxes, print reports, and support quality programs and other assigned duties.

Analyze and manage FMLA and other unpaid leave claims, determine eligibility and benefits per client plans and regulations, communicate decisions to claimants/clients, and maintain documentation and quality standards.

Own and enhance ServiceNow HRSD modules and the Employee Center. Design solutions, configure workflows and Flow Designer automations, troubleshoot complex issues, and make independent configuration decisions to improve HR service delivery.

Provide general administrative support including preparing correspondence and reports, filing, phone backup, invoicing, attendance tracking, minute-taking, travel booking, supply ordering, and transcription of dictated materials.

Provide responsive, high-quality phone and CRM support for BillReview IQ users: troubleshoot software issues, log and escalate defects, resolve inquiries within timelines, document interactions, build user relationships, and contribute to continuous improvement. Must work one late shift weekly.