Workers' Compensation Claims Examiner II Albertsons Companies 142 reviews - Pleasanton, CA 94588 Full-time, Contract Albertsons' Companies is working to become the favorite food and drug retailer in every market it serves. The organization includes 2,230 stores, 27 distribution facilities and 19 manufacturing plants with over 280,000 employees across 34 states and the District of Columbia. Albertsons' Companies is privately owned with supermarkets across the country that include: Albertsons, Safeway, Vons, Pavilions, Randall's, Tom Thumb, Carrs, ACME, Jewel-Osco, Lucky, Shaw's, Star Market, Super Saver, United Supermarkets, Market Street and Amigos. The Workers' Compensation department located in Pleasanton, CA has an opening for a Claims Examiner II. POSITION PURPOSE: The Claims Examiner II is a technical examiner who is responsible for managing moderate to complex workers compensation or liability claims under moderate supervision. Using established company requirements, procedures, practices and policies, determine investigative strategy and most cost-effective way to resolve the claim. The examiner's decision on conclusion of a claim is based upon an analysis of the facts, liability and applicable rules and laws. KEY ACCOUNTABILITIES: Investigate (field or otherwise) all injuries, determine compensability of the claim, evaluate liability/exposure, identify and pursue subrogation and/or salvage and prepare proper reports as required usually accomplished by performing LIDRA or three-point contact with Claimant, Facility Manager and Physician. The Workers' Compensation Examiner II must manage medical treatment, medical utilization, authorize, control and process bills within guidelines by using cost containment program; audit provider bills. Work with injured workers, facility managers and physicians to aid in the return to full or modified work duties. Ability to recognize and manage the vocational rehabilitation process. Manage the litigation process. Develop settlement and negotiation strategies and pursue with attorneys and injured parties, execute settlement and/or release documents and issue settlement benefits as approved by settlement, courts or the WC boards. Attend appropriate ADR conferences. Determine need for and direct defense counsel, independent examiners, or other experts and monitor and control their costs. The Workers' Compensation Examiner II must ensure all WC filings are timely, handle WC administrative inquiries, and attend WC board hearings as necessary. Communicate and interact with facility managers, injured parties, attorneys, investigators, witnesses, physicians, vendors, WC boards, etc., as needed. Interact with Division and Corporate Departments to obtain information necessary to resolve claims, discuss safety awareness and understand contractual issues presented to the company. Keep facility managers and appropriate risk management department personnel advised of file status. Prepare excess reporting as required. Ensure accurate coding of data within the claims system. KNOWLEDGE AND EXPERIENCE: Education Level: Bachelor's degree or equivalent work experience S.I.P. certification required within one (1) year of hire I.E.A. certificate required within three (3) years of hire Experience Level: Minimum of three (3) years of workers compensation claims experience Skills and Experiences: Knowledge of the applicable insurance system principles, statutes and judicial protocol. (Benefit calculation, compensability decision time line factors, sub-rosa, etc. for workers compensation including knowledge of OSHA, state reporting requirements, permanent disability systems and calculations) Ability to organize, prioritize and complete multiple objectives Detail-oriented Claims system coding and use Excellent oral and written communication skills Strong interpersonal, negotiation and customer service skills Capable of dealing with demanding customer TRAVEL REQUIREMENTS: Less than 15%. PHYSICAL ENVIRONMENT: Disclaimer: The above statements are intended to describe the general nature and level of work being performed by employees assigned to this job classification. They are not intended to be construed as an exhaustive list of all responsibilities and skills required of personnel so classified. Safeway Corp. - 5 hours ago - save job - original job Apply On Company Site * Worker Compensation Claim Examiner jobs in Pleasanton, CA * Jobs at Albertsons Companies in Pleasanton, CA * Worker Compensation Claim Examiner salaries in Pleasanton, CA Albertsons Companies Albertsons Companies 142 reviews Let employers find you Thousands of employers search for candidates on Indeed Upload Your Resume