Sr Claim Examiner- WC
EPITEC · Brea, CA · 1 wk ago
Business Development$36/hrContract
Location: Remote
Job Type: Contract (4 months)
Expected hours per week: 40 hours
Pay Rate: $36/hour
Requirements
- California Workers Compensation Adjuster License
Responsibilities
- 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.
- Establishes 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.
- 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
- Ability to manage and prioritize multiple projects