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Sr Claims Examiner

Apply Now Apply Later Job ID 956016BR Location Anaheim, California, United States Business Disneyland Resort Date posted 04/18/2022
Protect the magic by preventing and mitigating risk at the Disneyland Resort. The Risk Management Services team is comprised of Guest Claims and Workers’ Compensation, and strives to create a world where there are no incidents or claims. As a member of the Workers’ Compensation team, you’ll play a critical role in supporting that work.

The Sr Claims Examiner role, 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 Sr Claims 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.

Responsibilities

• 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.

Basic Qualifications

• 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 abililty to work effectively within established levels of authority, seeking out supervision as needed or required by internal procedures and guidelines.

Preferred Qualifications

Certifications such as IEA, WCCP, CPDM and Bachelors Degree
Bilingual - English/Spanish

Required Education

High School Diploma or equivalent

Preferred Education

Bachelor’s degree

Additional Information:

#LegalAffairs, #Corp_media and #twdcmedia

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 with the following business segments: media networks, parks and resorts, studio entertainment, consumer products and interactive media. 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, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. Disney fosters a business culture where ideas and decisions from all people help us grow, innovate, create the best stories and be relevant in a rapidly changing world.

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