Job Information
Nordstrom Risk Analyst 3 - Workers Compensation -(Remote)- California Only in Santa Ana, California
Job Description
The Workers Compensation Risk Analyst 3 will be responsible for managing moderately complex claims, including high exposure and litigated claims. Responsibilities include determining benefits due; ensuring management of claims within internal claims management guidelines and in compliance with applicable laws; and identifying opportunities for, managing subrogation of claims, and negotiating settlements.
**This position is a remote “work from home” position - Must be located in California.
Position Expectations
Thoroughly investigate workers’ compensation claims by timely contacting injured workers, medical providers, and employer representatives/witnesses and documenting investigation efforts and findings within claim management guidelines.
Determine if claims are valid under applicable workers’ compensation statutes.
Communicate with medical providers to develop and authorize appropriate treatment plans.
Review and analyze medical bills to confirm charges and treatment are related to the work injury and in accordance with the treatment plan.
Ensure payments for medical bills and income replacement are remitted on a timely basis in accordance with applicable fee schedules and statutes.
Calculate and assign appropriate reserves to claims and manage reserve adequacy throughout the life of the claim.
Manage claim recoveries, including but not limited to subrogation, second injury fund excess recoveries, and Social Security and Medicare offsets.
Prepare required state filings within applicable time limits.
Oversee and work with outside counsel to provide information and strategic direction as needed for litigation and/or settlement negotiations.
Ability to maintain on-going education credits in a multiple state.
EDUCATION AND EXPERIENCE
High school diploma or general education degree (GED) and two years of workers’ compensation claims handling experience required. Bachelor's degree from four-year college or university preferred.
CERTIFICATES, LICENSES, REGISTRATIONS
IEA Certificate and California Self Insured Certificate required.
KNOWLEDGE AND SKILLS
Strong understanding of workers’ compensation laws and regulations as well as workers’ compensation claim principles and application.
Strong verbal and written communication and negotiation skills.
Ability to work positively and collaboratively in a team environment; must always use good judgment.
Excellent time management and organizational skills
High level of attention to detail while working in a fast-paced environment
Frequent use of computers, telephones, and other standard office equipment
We’ve got you covered…
Our employees are our most important asset and that’s reflected in our benefits. Nordstrom is proud to offer a variety of benefits to support employees and their families, including:
Medical/Vision, Dental, Retirement and Paid Time Away
Life Insurance and Disability
Merchandise Discount and EAP Resources
A few more important points...
The job posting highlights the most critical responsibilities and requirements of the job. It’s not all-inclusive. There may be additional duties, responsibilities and qualifications for this job.
Nordstrom will consider qualified applicants with criminal histories in a manner consistent with all legal requirements.
Applicants with disabilities who require assistance or accommodation should contact the nearest Nordstrom location, which can be identified at www.nordstrom.com .
© 2022 Nordstrom, Inc
Current Nordstrom employees: To apply, log into Workday, click the Careers button and then click Find Jobs.
Pay Range Details
The pay range(s) below are provided in compliance with state specific laws. Pay ranges may be different in other locations.
California: $66,560 - $119,000 Annually
About Us
We’re a fast-moving fashion company that started as a shoe store in 1901. This heritage of service is the foundation we’re building on as we provide convenience and true connection for our customers. We empower our people to be innovative, creative and focused on providing the best service to our customers. Through it all, we remain committed to leaving the world better than we found it.
Whether you’re a genius engineer, a phenomenal salesperson or a supply chain pro, we invite you to bring your unique talents and join our team. We reward great work, promote from within and celebrate diversity.
CUSTOMER OBSESSEDWe strive to know our customers better than anyone else. We listen, anticipate, build trust and move with speed to deliver on their needs.
OWNERS AT HEARTWe treat every interaction as an opportunity to make an impact and deliver excellence.
CURIOUS AND EVER CHANGINGWe approach problems with curiosity and create solutions. We unlock potential to be bold, think big and inspire innovation.
HERE TO WINWe’re committed to delivering results, both today and tomorrow. We win as a team by supporting and challenging one another to be better every day.
WE EXTEND OURSELVESWe treat each other with respect and kindness. We do the small things that make a big difference. We create a welcoming environment, helping people feel connected, valued and part of one community.
Come on! Join us!