Match score not available

Claims Examiner- Worker’s Compensation (remote in CA only)

extra holidays

Remote:

Full Remote

Contract:

Full time

Experience:

Mid-level (2-5 years)

Work from:

Canada

Offer summary

Qualifications:

Bachelor’s degree or equivalent experience required, 1-3 years of claims investigations experience.

Key responsabilities:

Receive and confirm claim assignments
Investigate, evaluate, negotiate, and adjudicate claims
Analyze claims activity and prepare reports
Establish reserves and authorize payments
Develop subrogation and recovery potential

RemX | The Workforce Experts Human Resources, Staffing & Recruiting XLarge https://www.remx.com/

1001 - 5000 Employees

See more RemX | The Workforce Experts offers

Job description

Description

Claim Examiner – Workers’ Compensation (remote)

Location: Must reside in the state of California

Pay: Depends on experience

Duties Of The Claim Examiner – Workers’ Compensation

Receive claim assignments and confirm policy coverages.
Interpret and make decisions using independent judgment on moderate difficulty claims and policy coverages.
Investigate, evaluate, negotiate, and adjudicate first and third-party claims to determine validity and verify the extent of damage. This involves telephone contact with clients, claimants, witnesses, or other relevant parties.
Analyze claims activity and prepare reports for clients, carriers, and management.
Establish reserves, authorize payments within the scope of authority, and settle claims in a cost-effective manner, ensuring timely disbursements.
Make prompt and equitable settlement decisions, issuing company drafts for authorized claims.
Develop subrogation and third-party recovery potential, following reclaim procedures.
Participate in claim reviews.

Skills Required For The Claim Examiner - Workers’ Compensation

Ability to work independently while assimilating various technical subjects.
Strong verbal and written communication skills.
Demonstrated ability to gather and analyze information, determine a course of action, and implement the selected approach.
Proficiency in problem-solving and identifying solutions.
Effective interpersonal skills for dealing with external sources and colleagues at all levels.

Education

Bachelor’s degree or equivalent experience required.
1-3 years of comprehensive claims investigations/settling experience in Workers’ Compensation or a similar organization.

Apply Now

Applicant Privacy Policy