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 - 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 Attachments: Location Client Location Country: United States State/Province: California City: Brea Address: Placentia Avenue, Suite , CA POSTAL CODE: Work Location Same as Client Location Other Client Location Work Completed Offsite Country: United States State/Province: California City: Brea Street Address: Street Address : POSTAL CODE:
Schedule Start Date: // Hours Per Week: Est. End Date: // Hours Per Day: Schedule Notes: Days Per Week:
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