Sr Claim Examiner- WC
About Our Client
The organization operates within the claims management industry, addressing the challenge of managing complex and large loss claims efficiently. It provides solutions that support individuals during difficult times by handling claims with thorough investigation and equitable settlement practices. The company serves a global customer base, reflecting diverse backgrounds and cultures, and emphasizes a unified approach to service and values.
About the Opportunity
The Sr Claim Examiner- WC is responsible for investigating and promptly settling advanced, large loss, and complex workers'' compensation claims. This role ensures claims are handled equitably and within established authority, contributing to the organization''s goal of restoring the lives of claimants through effective claims management. The position supports legal preparation and mentors new employees, enhancing overall team capability and claim resolution quality.
Responsibilities
- Investigate and settle moderate-to-difficult claims with minimal supervision
- Review coverage, determine liability, and assess compensability
- Secure necessary information and arrange property damage appraisals
- Utilize claims best practices to settle claims
- Evaluate and set reserves using independent judgment
- Assist supervisors and attorneys in preparing litigation cases
- Conduct training and mentor new hires
Requirements
- Experience handling advanced, large loss, and complex claims
- Ability to work within established authority on moderate-to-difficult claims
- Skills in liability determination and claims evaluation
- Capability to mentor and train new employees
Benefits & Perks
- Medical, Dental, and Vision Plans
- Prescription Drug Coverage
- HSA, HRA, and FSA Accounts
- Paid Holidays, Vacation, and Sick Leave
- 401(k) Retirement Plan
- Tuition Assistance
- Paid Parental Leave
- Supplemental Health Benefits
- Enhanced Mental Health Support
- Virtual Physical Therapy
- Caregiving Services
- Life Assistance Program
- Training programs supporting continuous learning and career progression
- Sustainability programs benefiting local communities
- Culture emphasizing respect, collaboration, entrepreneurial spirit, and inclusion