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Sr Claim Examiner- WC

PublishedPublished: 6/14/2022

Job Description

Job DescriptionDescription:

  • Sr Claim Examiner- WC
  • 04-month contract with possible extension or conversion
  • Remote


Note:
Must have multiple years' experience handling CA.
Sr Claim Examiner- WC The examiner can work remotely.

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.
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