[Hiring] Claims Examiner @Jobgether
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Role Description
- This position involves analyzing complex workers' compensation claims, ensuring that claims are adjudicated in accordance with service expectations and industry best practices.
- Analyze and process complex workers' compensation claims, managing them to timely resolutions.
- Negotiate settlements of claims within designated authority.
- Calculate reserves and manage their adequacy throughout the life of claims.
- Ensure timely claim payments and prepare necessary state filings.
- Manage the litigation process for claims resolution.
- Coordinate vendor referrals for investigation and litigation management.
- Implement cost containment strategies to minimize claims costs.
- Oversee claim recoveries and report claims to the excess carrier.
- Qualifications
- Bachelor's degree from an accredited college or university preferred.
- Five (5) years of claims management experience or equivalent.
- Subject matter expert in insurance principles and laws.
- Excellent oral and written communication skills.
- Proficient in Microsoft Office and analytical skills.
- Strong organizational and interpersonal skills.
- Exceptional negotiation abilities and team collaboration.
- Benefits
- Competitive salary range of $75,000 - $85,000/year.
- Comprehensive benefits package including medical, dental, and vision.
- 401(k) plan with matching contributions.
- Paid time off (PTO) and flexible spending accounts.
- Life and disability insurance.
- Employee assistance programs and additional voluntary benefits.
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