Claims Examiner. Workers' Compensation

Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any hospital, government facility, or school. Through partnership and innovation, Amergis creates unmatched staffing experiences to deliver the best workforce solutions.The Claims Examiner Workers' Comp understands and participates in every aspect of the WC claim process. Working in a team approach, the Claims Examiner WC will make decisions concerning reserve adjustments, develop a plan of action, and determine claim resolution. The Claims Examiner WC also works with the Adjusters, WC Manager, and fellow Amergis team members. Essential Duties and Responsibilities: Manages full cycle claim management for assigned states to resolutionParticipates in conference calls with local offices, third-party administrators (TPAs), medical providers, and other Amergis employees in order to communicate status plansEnsures legal deadlines are metMonitors TPA's file resolution plansRepresents Amergis in depositions, mediation, and conference calls regarding assigned claim filesProvides analysis on the financial aspects of assigned claims filesProvides excellent customer service to injured workersPrepares WC claim reports for department management teamReviews, identifies and makes recommendations for maintaining control and/or reducing the claims experience (loss history) of the companyAuthorizes or revise reserve requestsCoordinates with Benefits team during employee's absenceCoordinates with state programs and internal departments for transitional dutyEducates branch offices about all aspects of Workers' CompensationAssists Manager in achieving overall department goalsPerforms other duties as assigned/necessary Minimum Requirements: College degree preferred; or equivalent work experience5 to 10 years of Workers' Compensation experience preferredSome legal experience strongly preferredGood organizational skills and attention to detailAbility to work independently and cooperatively in a team environmentAbility to communicate effectively and provide excellent customer service with individuals at all levels of the organizationComputer proficiency, including Microsoft Office applications, requiredPrior experience performing internet researchAbility to effectively elicit/provide information to and from appropriate individuals (including, but not limited to, supervisors, co-workers, clients) via strong communication skills; proficiency in the English language is requiredAt Amergis Healthcare Staffing, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits: Medical/Prescription, Dental, Vision, Health Advocacy (company paid if enrolled Medical), Health Advocate Employee Assistance Program, Health Savings Account , 401(k), 401(k) Company Match, Profit Sharing, Short Term Disability, Long Term Disability, Primary Caregiver Leave, Parental Leave, Life and Basic Accidental Death and Dismemberment Insurance, Voluntary Life and Accidental Death and Dismemberment Insurance, Hospital Expense Protection Plan, Critical Illness Insurance, Accident Insurance, Dependent Care Flexible Spending Account, Home and Auto Insurance, Pet Insurance, MilkStork, Transportation Benefit, Educational Assistance Program, College Partnership Program, Paid Time Off/Company Holidays *Benefit eligibility is dependent on employment status. Amergis Healthcare Staffing is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law. This posting will remain active on job boards for 5 days from date of posting unless there is a good faith basis to extend the posting date. Please note that this pay range represents a good faith estimate of the compensation that will be offered for this position based on the circumstances. The actual pay offered to a successful candidate will take into account a wide range of factors, including but not limited to location, experience, and other variable factors. "Pursuant to the San Francisco Fair Chance Initiative, Amergis will consider for employment qualified applicants with arrest and conviction records"

Created: 2026-04-02