Match score not available
Sr Claim Examiner- WC
extra holidays
Offer summary
Qualifications:
Oregon W/C Certification is required., Must have 5 years of experience handling Oregon Lost Time Claims., Bachelor's degree or equivalent experience is preferred., Strong analytical, communication, and negotiation skills are essential..Key responsabilities:
- Interprets and makes decisions on complex policy coverages for claims.
- Manages investigative activities and directs litigation strategy with legal counsel.
- Analyzes claims activity and prepares reports for clients and management.
- Establishes reserves and authorizes payments within authority limits.
1001 - 5000
Employees
Job description
Job Title:-Sr Claim Examiner- WC
Location:- Open For 100% Remote
Duration: 6+ months with possible extensions or conversion into fulltime
Candidate NEEDS to be submitted with an Oregon W/C Certification ----- AND---- Must be certified to handle OR Workers Comp Claims and have 5 years experience handling OR Lost Time Claims.
Role is REMOTE ------ worker can work from anywhere in the US but MUST have experience in the 5 years or more experience in OREGON wc / loss time claims, and have their Oregon Certification.
Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.
- Manages 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 authorizes 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.
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.
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
#TB_EN
Location:- Open For 100% Remote
Duration: 6+ months with possible extensions or conversion into fulltime
Candidate NEEDS to be submitted with an Oregon W/C Certification ----- AND---- Must be certified to handle OR Workers Comp Claims and have 5 years experience handling OR Lost Time Claims.
Role is REMOTE ------ worker can work from anywhere in the US but MUST have experience in the 5 years or more experience in OREGON wc / loss time claims, and have their Oregon Certification.
Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.
- Manages 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 authorizes 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.
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.
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
#TB_EN
Required profile
Experience
Industry :
Human Resources, Staffing & Recruiting
Spoken language(s):
English
Check out the description to know which languages are mandatory. Other Skills
- Time Management
- Communication
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