Sr Claim Examiner

Sr Claim Examiner- WC

Location: Brea, CA 92821

Duration: 4 month contract (with possibility of extension)

Shift: Standard Shift

Job Duties:

• Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.
• Manage 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 authorize 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 4-8 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.

Pay: $30.00 - $36.00 per hour

Work Location: In person

Salary : $30 - $36