Sr Claim Examiner- WC

Sr. Claim Examiner - WC (Denver, CO) Ready to take on high-stakes claims and make a real impact? We’re seeking an experienced Claims Adjuster who excels at handling advanced, large-loss, and complex cases with the independence to make sound decisions and the expertise to deliver fair, timely outcomes. What You’ll Do Review coverage, determine liability, and drive fair resolutions. Secure critical information and arrange property damage appraisals. Set reserves using sharp judgment and analytical expertise. Partner with supervisors and defense attorneys to prepare cases for litigation. Mentor and train new team members. If you excel in fast-paced environments and love solving complex problems, this role is for you. Take the next step and bring your expertise to a team that truly values it! Bachelor’s degree or equivalent experience required. Industry designations preferred but not required (IIA, AIC, AEI and/or CPCU). Technical claims investigations/settling experience with 4-8 years experience in Claims or a similar organization. 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. Effective advanced interpersonal skills to interact with all levels of internal and external clients. Workers Compensation (WC) Adjuster License required according to jurisdictional requirements. Key Responsibilities Interpret and make decisions using independent judgment on more complex and unusual policy coverages and determine if coverages apply to claims submitted. Manage all aspects of investigative activity on complex claims. Direct the discovery and litigation strategy with legal counsel. Analyze claims activity and prepare reports for clients/carriers and management. Establish reserves using independent judgment and expertise, authorize payments within scope of authority, settle claims in the most cost‑effective manner, and ensure timely issuance of disbursements. Settle claims promptly and equitably and issue company drafts of payments for claims within authority limits. Develop subrogation and third‑party recovery potential and follow reclaim procedures. Analyze claims activities and prepare reports for clients, carriers and/or management. Participate in claim reviews. #J-18808-Ljbffr