Sr Claim Examiner- WC
Tech Providers
Description:
Note: Must have multiple years' experience handling CA WC. Must work in PST hours .
Duties:
Skills:
Education:
- Sr Claim Examiner- WC
- 04-month contract with possible extension or conversion
- Remote
Note: Must have multiple years' experience handling CA WC. Must work in PST hours .
Duties:
- Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.
- Manages all aspects of investigative activity on complex claims.
- Directs the discovery and litigation strategy with legal counsel.
- Analyzes claims activity and prepares reports for clients/carriers and management.
- Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost-effective manner and ensuring timely issuance of disbursements.
- Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits.
- Develops subrogation and third-party recovery potential and follows reclaim procedures.
- Analyzes claims activities and prepares reports for clients, carriers and/or management.
- Participates in claim reviews.
Skills:
- Ability to work independently while assimilating various technical subjects.
- Strong written and oral communication, negotiation and presentation skills.
- Advanced analytical and problem-solving skills, with the ability to manage and prioritize multiple projects.
Education:
- Bachelor's degree or equivalent experience required.
- Comprehensive claims investigations/settling experience 1-3 years' experience in Claims or similar organization
Vacancy posted 4 days ago
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