Technical Claims Specialist, Workers Compensation - West Region

Responsibilities

• Investigates claims to determine coverage, establish compensability, and verify exposure.
• Resolves claims within authority and makes recommendations regarding case value and resolution strategy to Branch Office Management and HO Examining on cases which exceed authority.
• Participates in pricing, reserving, and strategy discussions with HO Examining and Examining Management.
• Works closely with staff and outside defense counsel in managing litigated files according to established litigation management protocols.
• Identifies and appropriately handles suspicious claims and claims with the potential to develop adversely.
• Identifies and appropriately handles claims with third party subrogation potential, SIF (Self-Insured Fund), and MSA (Medicare Set Aside) exposure.
• Establishes and maintains accurate reserves on all assigned files.
• Makes timely reserve recommendations to Branch Office Management and HO Examining on cases which exceed authority.
• Prepares for and attends mediation sessions and/or settlement conferences and negotiates on behalf of LMG and LMG Insureds.
• Demonstrates the ability to understand new and unique exposures and coverages.
• Demonstrates the ability to understand key data elements and claims related data analysis.
• Confers directly with policyholders on coverage and resolution strategy issues.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
• Captures and analyzes claims related data to identify trends and improve processes.
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