Sr Claim Examiner- WC
Department :
02200 SRMS R0040 BUS : RM Denver - 02200
Job Category : Claims
Claims
Job Code :
Sr Claim Examiner- WC : BS0160
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 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
Languages : English
English
Read
Write
Speak
Attachments :
Skills and Experience
Skills : Required
Required
- PRESENTATION SKILLS
- PROBLEM SOLVING
- CLAIMS
- TECHNICAL CLAIMS
Additional
- LITIGATION STRATEGY
- PAYMENTS
Languages :
English( Speak, Read, Write )
Minimum Degree Required :
Also Preferred : Location
Location
Client Location
Country : United States
United States
State / Province : Oregon
Oregon
City : Portland
Portland
Address :
12725 SW 66th Ave, Suite 207, OR0003
POSTAL CODE : 97223
97223
Work Location
Same as Client Location
Other Client Location
Work Completed Offsite
Schedule
Start Date : 11 / 18 / 2024
11 / 18 / 2024
Hours Per Week : 40.00
40.00
Est. End Date : 01 / 17 / 2025
01 / 17 / 2025
Hours Per Day : 8.00
8.00
Schedule Notes : Days Per Week :
Days Per Week : 5.00
5.00
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. SRMS | R0040 | BUS : RM Denver - 02200. Interprets and makes decisions usin...
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
Title: Sr Claim Examiner- WC. Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits. Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submit...
Sr Claim Examiner- WC
Department: | SRMS | R | BUS : RM Denver - 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 d...
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