Claims Examiner (Project Hire)
工作概要:
About the Role:
The Claims Examiner is an early-career professional who supports Disney’s Corporate Risk Management organization by administering workers’ compensation claims in a way that protects the brand while enabling world-class storytelling and guest experiences. In this role, you will independently manage a portfolio of occupational injury and illness claims, applying sound judgment and problem-solving skills to deliver fair, timely, and compliant outcomes for Cast Members and the company.
Project Hire Assignment: This position is a temporary Project Hire assignment expected to last approximately six (6) months. Employment is intended to support a specific business need for a limited duration and there is no guarantee of extension, conversion, or placement into a regular full-time position at the conclusion of the assignment.
Responsibilities:
As a Claims Examiner, you will handle workers’ compensation claims from initial investigation through resolution, ensuring benefits are administered in accordance with California Labor Code and internal guidelines while supporting Disney’s commitment to a safe, innovative, and collaborative workplace. This intermediate-level role requires you to analyze information, recommend solutions with moderate guidance, and work independently while partnering across teams—helping safeguard the company’s interests and supporting injured Cast Members in their recovery.
- Administer workers’ compensation benefits for injured Cast Members, including investigation, review and analysis of medical reports, arranging medical examinations, and rating permanent disability.
- Communicate effectively with Cast Members, physicians, attorneys, and other providers to gather information, explain claim decisions, and facilitate appropriate care and benefits.
- Establish and maintain case reserves in accordance with California Self-Insurance Plans and department guidelines, using strong analytical skills to evaluate liability and exposure.
- Oversee vocational rehabilitation benefits with a focus on returning Cast Members to gainful employment whenever possible.
- Utilize automated claims management systems, paperless document management tools, and web-based portals to document, track, and manage claims in a timely and accurate manner.
- Maintain frequent contact with multiple stakeholders, including injured Cast Members, area and department management, medical providers, and other professionals, while demonstrating a professional, courteous, and positive demeanor.
- Work within established levels of authority, seeking supervision as needed or required by internal procedures and guidelines, and provide informal guidance to new team members on claims processes.
Required Qualifications:
- 2+ years administering occupational or workers’ compensation claims in California.
- Designation as a Workers’ Compensation Claims Examiner in the State of California, per California Department of Insurance guidelines.
- Required: California Self-Insurance Plans Administrator Certification.
- Proficient understanding of key elements of the California Labor Code related to workers’ compensation benefits and claim administration.
- Strong analytical skills in evaluating liability, setting appropriate reserves, and developing action plans for claim resolution.
- Ability to perform detailed evaluation of claims and permanent disability ratings.
- Proficient use of automated claims management systems, paperless document management systems, and multiple web access portals.
- Excellent time management skills with the ability to prioritize multiple issues and meet department expectations and objectives.
- Effective listening, verbal, and written communication skills, including the ability to deliver concise and informative summaries.
- Demonstrated ability to work collaboratively within multifaceted teams and build strong relationships with stakeholders.
- Ability to handle confidential information with discretion and professionalism.
- Early-career, independent worker with strong problem-solving skills and the ability to analyze a range of issues and recommend solutions with moderate guidance.
Preferred Qualifications:
- Preferred certifications such as IEA, WCCP, or CPDM.
- Bilingual – English/Spanish.
- Bachelor's Degree in Business, Risk Management, or a related field.
#twdcmedia and #corp_media
The hiring range for this position in California is $72,000 to $96,500 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 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, visit the Disney candidate disability accommodations FAQs. We will only respond to those requests that are related to the accessibility of the online application system due to a disability.
遇到技術問題?查看常見問題以尋求協助。
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