Skip to main contentCandidates who adapt well to priority changes, deadlines, and consistently are quick to respond to/or acknowledge communications (both from internal and external sources).Positive and outgoing disposition, eager to work as a team while also functioning well working independently.Minimum of 2 to 5 years of professional experience working Risk Management/claims adjusting.Experience working with California Workers' Compensation claims is highly preferred but not required.Excellent organizational, interpersonal and communication skills.Good problem-solving and critical thinking skills.Ability to work in a fast-paced environment and deliver results to meet timelines.Ability to be discreet and maintain the security of customer information.Proficient in Microsoft Office Suite, in particular Outlook, Excel, Word and PowerPoint.Educational requirements:Bachelor's degree preferred but not required.Benefits
The national average salary for this role is $100 000.00 - $1Vision insuranceRemote work options
Additional Information
LOCATION: Remote, California
Come join our team!
There are many reasons why EPIC Insurance Brokers & Consultants has become one of the fastest-growing firms in the insurance industry. Fueled and driven by capable, committed people who share common beliefs and values and "bring it" every day, EPIC is always looking for people who have "the right stuff" - people who know what they want and aren't afraid to make it happen.
Headquartered in New York City and founded in 2007, our company has over 4,000 employees nationwide. With locations spread out across the U.S., our local market knowledge and industry expertise helps support our clients' regional and global needs. We have grown very quickly since our founding, and we continue to see growth and success thanks to our hard-working and growth-minded employees.
Our core values are: Owner mindset, Inspire trust, Think big, and Drive results. If these values and growth align with what you're looking for in your next career? Then consider joining our amazing team!
JOB OVERVIEW:
Fairly Group, a division of EPIC Insurance Brokers, specializing in risk management and insuring clients in the sports and entertainment industries.
We are seeking a detail-focused individual to join our team as a Risk Consultant. The Risk Consultant works in partnership clients to identify and reduce the cost of workers' compensation (WC) risk by influencing change within the client's organization. This position provides clients with day-to-day strategic claim oversight, guidance through complex risk management issues, and best practice process implementation to control costs and improve long-term WC program performance. This role demands extraordinary client support, careful attention to detail, precision, and intuitive interpersonal and communication skills. The Risk Consultant will prioritize superior medical treatment for the client and athlete/injured worker.
WHAT YOU WILL DO: Job duties include, but are not limited to, the following:
- Deeply understand the client's business and challenges and recommend intuitive, relevant interventions and actions aimed at cost reduction.
- Identify and provide evaluation of a client's risks and recommend action to minimize or eliminate those risks.
- Provide consultative support to the client regarding WC jurisdictional compliance.
- Work closely with WC claim adjusters or at times directly provide similar service as some clients may handle claims internally rather than through a third-party administrator.
- Conduct video/telephonic claim reviews to identify and proactively initiate actions for favorable outcomes and claim to resolution.
- Analyze reserve increase requests and ensure accuracy of exposure assessments.
- Review litigation correspondence and interface with Legal Counsel on litigation strategy and up to date jurisdictional law.
- Review medical provider billing and repricing from bill review vendors for accuracy and opportunities for price negotiation.
- Enter first reports of injury, medical bills, and notes into the electronic claim management system.
- Review incident reports with third party involvement for subrogation potential.
- Oversee third party vendor programs including Managed Care, Bill Review, Nurse Case Management, Field Case Management, Surveillance, Subrogation and Medicare Set Aside services.
- Attend in-person meetings with clients and vendors.
- Review and/or create reports, scorecards and loss-runs and complete analysis of loss data, claim reviews and communicate trends.
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Edgewoodpartnersinsurancecenter · 3633 Inland Empire Boulevard Suite 640, Ontario, CA 91764