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Adjudicate California workers' compensation claims by investigating, analyzing exposure, negotiating settlements, communicating with claimants/clients, and reporting to excess carriers while meeting service expectations and client requirements.

Analyze and establish FMLA and other unpaid leave claims, determine eligibility and certification per client plans and regulations, track and code documentation, make timely case decisions, communicate with claimants and clients, maintain client relationships, and meet quality and performance standards.

Adjudicate complex California workers' compensation claims, manage high-exposure cases including litigation and rehabilitation, calculate reserves and benefits, negotiate settlements, coordinate vendors, pursue recoveries/subrogation, ensure regulatory filings and accurate claim documentation, and maintain client and claimant communication to resolve claims within service standards.

Build and maintain multi-cloud ETL/ELT data pipelines to provision high-fidelity datasets, feature stores, and vectorized corpora for ML and Generative AI. Lead Snowflake architecture, optimize performance and costs, extract from legacy on-prem systems, orchestrate workflows, ensure data quality and security, and collaborate with MLOps and Data Science teams.

Lead client services administration for an assigned area: ensure contract compliance, manage financials (AR, invoicing, pricing), oversee renewals and negotiations, drive business planning and staffing, build and maintain client and executive relationships, support business development, and supervise hiring and performance management.

Coordinate and manage client absence programs, act as liaison between clients, employees, providers and operations, assist in program evaluation, reporting, training, and compliance, and support process improvements and benefits events.

Entry-level claims trainee to complete a 4-week training program and onboard into workers' compensation claims adjusting. Responsibilities include investigating claims, communicating with stakeholders, determining coverage and benefits, documenting files, administering benefits, and participating in meetings under close supervision.

Entry-level trainee position completing a 4-week workers' compensation claims training program, then onboarding to handle claims under supervision. Responsibilities include investigating claims, communicating with claimants and providers, determining coverage and compensability, administering benefits, documenting files, and participating in meetings and reviews.

Evaluate and establish FMLA and other unpaid leave claims, determine eligibility and required certifications per client plans and regulations, communicate decisions to claimants and clients, track documentation and maintain quality service standards.

Analyze and adjudicate California workers' compensation claims by investigating exposures, negotiating settlements within authority, communicating with claimants/clients, and reporting to carriers while meeting service and client requirements.