Department: 02333 | SRMS | R0038 | BUS : RM Chicago - 02333 Job Category: Claims Job Code: Claim Examiner- WC:BS0185 Job Title: Claim Examiner- WC Keywords: Number of Positions: 1 Remaining Positions: 1 Duties: 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. - 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. - 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. - 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. - Good verbal or written communication skills. - Demonstrated ability to gather and analyze information, determine a course of action and implement the selected course of action. - Strong ability to identify, analyze and solve problems. - Effective interpersonal skills to be capable of dealing with external sources and all levels of employees. Education: Bachelor's degree or equivalent experience required. - Comprehensive claims investigations/settling experience 1-3 years experience in Claims or similar organization Languages: English Read Write Speak Attachments: Skills and Experience Skills:
Required

• CLIENT COMMUNICATION
• GREAT ORGANIZATIONAL SKILLS
• CUSTOMER SERVICE
• PAYMENTS
• CLAIMS

AdditionalLanguages: English( Speak, Read, Write ) Minimum Degree Required: Also Preferred: Location Client Location Country: United States State/Province: Michigan City: Livonia Address: 17197 N Laurel Park DR, Suite 255 Laurel Office Park I, MI0003 POSTAL CODE: 48152 Work Location Same as Client Location Other Client Location Work Completed Offsite Schedule Start Date: 04/15/2024 Hours Per Week: 40.00 Est. End Date: 05/31/2024 Hours Per Day: 8.00 Schedule Notes: Days Per Week: 5.00