Claims Examiner managing complex general liability claims for a global risk and claims administration partner. Analyzing claims and ensuring timely resolutions within service expectations in a hybrid work setting.
IS
Hybrid Workers Compensation Claims Adjuster, III
Posted 2 months ago
About the role
- Claims Adjuster managing an assigned inventory of claim files under the supervision of a Claims Supervisor. Responsible for effective case management and documentation of ongoing case facts.
Responsibilities
- Reports directly to the unit Claims Supervisor
- Responsible for effectively managing to conclusion an assigned inventory of claim files
- Perform a three-point contact on all new losses within 24 hours of receipt of the claim
- Thoroughly and accurately document ongoing case facts and relevant information necessary for establishing compensability
- Form a partnership with the medical case manager to maximize early return to work potential
- Initiate the referral to the SIU of cases with suspected fraud
- Aggressively pursue subrogation from culpable third parties
Requirements
- Bachelor's degree (B. A.) from four-year college or university
- At least seven years related experience and/or training
- Requires a high degree of claims handling expertise to include a minimum of at least five years experience managing indemnity cases
- Possess an SIP certificate
Benefits
- WFH Flexible
- Equal opportunity employer
Job title
Job type
Experience level
Salary
Degree requirement
Location requirements
Insurance Claims Associate at Lendbuzz ensuring clients receive support for auto insurance claims. Collaborating with stakeholders for prompt claims processing and financial recoveries.
Claims Analyst coordinating motor vehicle accident accounts to increase revenue for hospital partners. Joining Aspirion's team to engage with innovative technology and foster professional growth in a hybrid role.
Claims trainee handling entry - level insurance claims while studying insurance policies at a leading insurance company. Developing negotiation skills with agents, insureds, and clients.
Senior Workers Compensation Claims Examiner managing Federal claims for AIG. Utilizing investigation and negotiation skills to ensure timely and cost - effective claim settlements.
Claims Examiner managing Federal Workers Compensation claims at AIG. Providing technical expertise while ensuring timely and cost - effective claim settlements and differentiating AIG from competitors.
Claims Representative at Sedgwick analyzing and processing low to mid - level auto and transportation claims. Actively managing claims processes, communications, and maintaining professional client relations.
Claims Examiner analyzing complex workers' compensation claims at Sedgwick. Working with litigation and rehabilitation while ensuring compliance with service expectations and industry best practices.
Claims Professional managing moderate to high exposure litigated claims in Construction Defect team at Zurich. Requires collaboration with internal and external contacts, providing technical claims service and negotiation.
Claims Specialist providing end - to - end support for transit damage claims in car transport at CEVA Logistics. Working closely with customers and vehicle operators to ensure timely claim resolutions.