Job Title: Claims Examiner
Location: Remote
Job Type: Contract
Contract Duration: 4 months
Expected hours per week: 40 hours
Pay Rate: $36/hour
Must have:
California Workers Compensation Adjuster Licence
Job 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.
– 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.
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