Claims Examiner - Workers Compensation

Claims Examiner - Workers Compensation

Location: Alpharetta, GA 30022 Duration: 3 Months (Temp to Perm)

Need to be licensed in Georgia to handle work comp. Florida would be the next most important license, along with SC and NC. Major Duties & Responsibilities:

• Deliver superior customer service and satisfaction through effective interactions with insureds, claimants, agents, underwriters, and others.
• Contribute to collaborative environment by consistently demonstrating teamwork, high motivation, behavior and effort to achieve goals and objectives.
• Provide accurate and timely expense and loss assessments on Lost Time claims.
• Timely and appropriately communicate with internal and external customers relative to account trends, issues, and claim activity.
• Consistently demonstrate fundamentally sound claim handling by achieving compliance in the areas of investigation, coverage, loss assessment, and case management.
• Ensure the establishment, documentation, and execution of appropriate strategies to bring early resolutions to assigned claims.
• Recognize and properly address coverage issues, potential fraud, and subrogation; follow guidelines and completion of reporting forms.
• Keep all files on a current diary system in order to monitor new developments, follow up on requests, update management and respond to all other diary activities in a timely manner.
• Provide guidance and direction to team members with the ultimate goal of managing and resolving a claim.

Minimum requirements:

• A personal commitment to superior performance that adds value to our company.
• An ability to work effectively with a wide variety of people.
• An aptitude for evaluating, analyzing and interpreting information.
• Excellent organizational skills a must.
• The ability to multi-task along with proven time management and organizational skills.
• An ability to work well in teams.
• Demonstrated critical thinking and decision making ability.
• Excellent verbal and written communication skills.

Education/experience:

• Adjuster's license to handle Workers Compensation claims is required and/or must be obtained immediately after hire date.
• Bachelor's Degree or equivalent experience preferred.
• Minimum of 3 years of Workers Compensation claim handling required.