Senior Claims Examiner - Disneyland
工作概要:
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.
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.
關於Disneyland Resort:
當時,Walt Disney 在 1955 年 7 月 17 日為 Disneyland 開幕,他表示它能夠成為「全世界的歡樂和靈感來源」。自那以後,Disneyland Resort 接待了超過 8 億位客人,擴展至大約 500 英畝,涉及方方面面,成為世界級的家庭度假勝地,擁有兩個知名的 Disney 主題公園、三間酒店和令人興奮的購物,名為 Downtown Disney District。組合創造力、技術和創新,度假村將講故事帶到新高度,每天和 Disneyland Resort 演藝人員為成千上萬位客人帶來 Disney 的神奇魔力。
關於 The Walt Disney Company:
Walt Disney Company 連同其子公司和聯營公司,是領先的多元化國際家庭娛樂和媒體企業,其業務主要涉及三個範疇:Disney Entertainment、ESPN 及 Disney Experiences。Disney 在 1920 年代的起步之初,只是一間卡通工作室,至今已成為娛樂界的翹楚,並昂然堅守傳承,繼續為家庭中每位成員創造世界一流的故事與體驗。Disney 的故事、人物與體驗傳遍世界每個角落,深入人心。我們在 40 多個國家/地區營運業務,僱員及演藝人員攜手協力,創造全球和當地人們都珍愛的娛樂體驗。
這個職位隸屬於 Walt Disney Parks and Resorts U.S., Inc.,其所屬的業務部門是 Disneyland Resort。
Walt Disney Parks and Resorts U.S., Inc. 是提供平等就業機會的僱主。求職者都會獲得聘僱考量的機會,不分種族、宗教、膚色、生理性別、性傾向、社會性別、性別認同、性別表達、原國籍、血統、年齡、婚姻狀態、軍人或退伍軍人身份、醫療狀況、遺傳資訊或殘疾狀況、或者聯邦、州級或地方法律所禁止的其他任何基本特徵。Disney 提倡讓所有人的想法和決策都有助我們發展、創新、創造最好故事的商業環境,並與瞬息萬變的世界息息相關。
就業申請的殘疾便利安排
The Walt Disney Company 及其聯營公司是推動平等就業機會的僱主,歡迎所有求職者,包括殘疾人士及殘疾退伍軍人。如你是殘疾人士,並需要合理便利安排以搜尋職位空缺或申請職位,請將要求發送至Candidate.Accommodations@Disney.com。本電郵地址不擬用於一般僱傭查詢或通訊。我們只會回應與網上申請系統殘疾人士無障礙功能相關的要求。
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