Senior Claims Examiner - Disneyland (Project Hire)

Job ID 10106340 Location Anaheim, California, United States Business Disneyland Resort Date posted Dec. 06, 2024

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Job Summary:

About the Role & Team

At The Disneyland Resort, you'll help inspire that magic by enabling our teams to push the limits of Risk Management and create the magic of handling claims and supporting the various Risk Management functions the Disney way!

As part of the Risk Management Services team, a Workers' Compensation Examiner, in collaboration with all the resources available, ensures access to any and all benefits necessary to cure or relieve the effects of an occupational injury or illness. The Workers' Compensation Examiner administers these benefits as required by the California Labor Code. Effectively works with the injured Cast Member and provider to facilitate the Cast Member's recovery while mitigating risk. This is a highly dynamic and collaborative role that requires outstanding customer service and communication skills with an understanding of the importance of brand management.

This is a temporary role approved until September 2025.

What You Will Do

Administer Worker's Compensation benefits to injured Cast Members to include investigation, review/analysis of medical reports, arranging medical exams, and rate permanent disability.
Effectively communicates with Cast Members, physicians, attorneys and other providers.
Appropriately establish case reserves according to California Self- Insurance Plans and department guidelines.
Drives and coordinates proactive litigation efforts for expeditious resolution which includes setting cases for hearing, identifying issues and proceeding with appropriate defenses, and partnering with in-house Hearing Representatives or outside defense counsel.
Oversee the provision of Vocational Rehabilitation benefits with a focus on returning Cast Members to gainful employment.
Actively pursue final resolution of claims via settlement, venue selection, executing all pertinent documents, and obtaining WCAB approval.

Required Qualifications & Skills

Minimum of 5 years' experience in administering occupational claims in California
California Self-Insurance Plans Administrator Certification
Proficient understanding of the key elements of the California Labor Code
Strong analytical skills in evaluating liability and setting of appropriate reserves and plans of action
Provides detailed evaluation and permanent disability rating skills
Utilizes excellent time management skills demonstrated by the ability to prioritize multiple issues and ensure timely completion of work in accordance with department expectations and objectives.
Proficient and appropriate use of automated claims management systems, paperless document management systems, and multiple web access portals.
Showcases effective skills in listening, verbal and written communication skills.
Demonstrates effective collaborative work within multifaceted teams.
Maintains frequent contact with multiple stakeholders including the injured Cast Member, area management, department management, medical providers, attorneys and other professionals involved in the administration of the claims.
Professional, courteous and positive demeanor while working with multiple stakeholders.
Requires ability to work effectively within established levels of authority, seeking out supervision as needed or required by internal procedures and guidelines.

Preferred Qualifications

Preferred Certifications such as IEA, WCCP, CPDM
Bilingual - English/Spanish preferred
Bachelor's degree

Education

High School Diploma or equivalent

The hiring range for this position in California is $85,800.00 to $115,000.00 per year. The base pay actually offered will take into account internal equity and also may vary depending on the candidate’s geographic region, job-related knowledge, skills, and experience among other factors. A bonus and/or long-term incentive units may be provided as part of the compensation package, in addition to the full range of medical, financial, and/or other benefits, dependent on the level and position offered.

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About Disneyland Resort:

When Walt Disney opened Disneyland on July 17, 1955, he said he hoped it would be “a source of joy and inspiration to all the world.” Since then, the Disneyland Resort has welcomed more than 800 million guests, expanding to become an approximately 500-acre, multifaceted, world-class family resort destination, complete with two renowned Disney theme parks, three hotels and the exciting shopping, dining and entertainment area known as Downtown Disney District. Through a combination of creativity, technology and innovation, the resort brings storytelling to new heights, and Disneyland Resort cast members play an integral part in bringing that Disney magic to life for thousands of guests every day.

About The Walt Disney Company:

The Walt Disney Company, together with its subsidiaries and affiliates, is a leading diversified international family entertainment and media enterprise that includes three core business segments: Disney Entertainment, ESPN, and Disney Experiences. From humble beginnings as a cartoon studio in the 1920s to its preeminent name in the entertainment industry today, Disney proudly continues its legacy of creating world-class stories and experiences for every member of the family. Disney’s stories, characters and experiences reach consumers and guests from every corner of the globe. With operations in more than 40 countries, our employees and cast members work together to create entertainment experiences that are both universally and locally cherished.

This position is with Walt Disney Parks and Resorts U.S., Inc., which is part of a business we call Disneyland Resort.

Walt Disney Parks and Resorts U.S., Inc. is an equal opportunity employer. Applicants will receive consideration for employment without regard to race, religion, color, sex, sexual orientation, gender, gender identity, gender expression, national origin, ancestry, age, marital status, military or veteran status, medical condition, genetic information or disability, or any other basis prohibited by federal, state or local law. Disney champions a business environment where ideas and decisions from all people help us grow, innovate, create the best stories and be relevant in a constantly evolving world.

DISABILITY ACCOMMODATION FOR EMPLOYMENT APPLICATIONS

The Walt Disney Company and its Affiliated Companies are Equal Employment Opportunity employers and welcome all job seekers including individuals with disabilities and veterans with disabilities. If you have a disability and believe you need a reasonable accommodation in order to search for a job opening or apply for a position, email Candidate.Accommodations@Disney.com with your request. This email address is not for general employment inquiries or correspondence. We will only respond to those requests that are related to the accessibility of the online application system due to a disability.

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Explore this Location Anaheim, CA

Anaheim, the home of Disneyland Resort and is at the center of family fun between Southern California theme parks and Orange County beaches, a place people go for year-round excitement and then are pleasantly surprised by the local culture and hidden gems.