Tech Providers,
Claim Examiner- WC
7 days agoPayCompetitive
LocationBrea/California
Employment typeOther
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Job Description
- Req#: 25-03740
- Receives claim assignment, confirms policy coverages, and directs acknowledgement of claims.
- Interprets and makes decisions using independent judgment on moderate difficulty claims and policy coverages and determines if coverages apply to claims submitted.
- Investigates, evaluates, negotiates, and adjudicates first and third-party claims to determine validity and verify extent of damage by telephone contact with clients, claimants, witnesses or other parties as required.
- Analyses 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.
- Make settlement decisions 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.
- Analyses claims activities and prepares reports for clients, carriers, and/or management. Participates in claim reviews.
- Ability to work independently while assimilating various technical subjects.
- Good verbal or written communication
- Demonstrated ability to gather and analyze information, determine a course of action and implement the selected course of action.
Position- Claim Examiner- WC
Location- Remote
Duration- 06 Months contract (High Possibility to extend)
Note : Required WC experience for California 1-3 years of experience
Duties:
Skills:About the company
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