What are the responsibilities and job description for the Claims Examiner- WC position at TalentBurst, an Inc 5000 company?
Job Title: Worker's Compensation Claims Examiner
Client Location: Brea, CA 92821
Job Duration: 4 Months contract with possible extension
Work Mode: 100% Remote
Pay Rate: $36.50/Hour on W2
Work Hours: 08:00 AM to 5:00 PM
Job Description
Position Summary
Interprets and makes decisions using independent judgement on more complex and unusual policy coverage and determines if coverage apply to claims submitted. Manages all aspects of investigative activity on complex claims. Directs the discovery and litigation strategy with legal counsel. Analyze claims activity and prepares reports for clients/carriers and management. - Establish reserves, using independent judgement 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. Analyze 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.
Minimum Qualifications
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 Qualifications
Industry designations such as IIA, AIC, AEI and/or CPCU
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Salary : $30 - $37