Sr Claim Examiner- WC
33897371
Sr Claim Examiner- WC
Location : 675 Placentia Avenue, Suite 350, Brea CA 92821
Hybrid role & California required License and Spanish is a Plus ( Speak, Read )
Duration : 3 Months
Description :
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. - Technical claims investigations / settling experience with 4-8 years experience in Claims or similar organization.
Workers Compensation (WC) Adjuster License required according to jurisdictional requirements. Preferred : - Industry designations such as IIA, AIC, AEI and / or CPCU
Sr Claim Examiner- WC
SRMS | R0036 | BUS : BP WC Brea - 06311. Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits. Technical claims investigations/settling experience with 4-8 years experience in Claims or similar organization. Interprets and makes decisions usi...
Sr Claim Examiner- WC
Department: | SRMS | R | BUS : BP WC Brea - Job Category: Claims Job Code: Sr Claim Examiner- WC:BS Job Title: Sr Claim Examiner- WC Keywords: Number of Positions: Remaining Positions: Duties: Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and ...
Sr Claim Examiner- WC
Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits. Technical claims investigations/settling experience with 4-8 years experience in Claims or similar organization. Interprets and makes decisions using independent judgment on more complex a...
Sr Claim Examiner-WC (CA)
Reviews coverages, determines liability and compensability, secures information, arranges property damage appraisals and settles claims utilizing claims best practices. Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits. Technical claims in...
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