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TPI Global (formerly Tech Providers, Inc.)
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Claim Examiner- WC
Posted: 04/02/2024
2024-04-02
2024-05-17
Job Number: 21940203
Job Description
Position: Claim Examiner- WC
Location: Minneapolis MN
Duration: 6+ Months (Contract)
Job description:
Skills:
Education:
Location: Minneapolis MN
Duration: 6+ Months (Contract)
Job description:
- Receives claim assignment, confirms policy coverages and directs acknowledgement of claims.
- Interprets and makes decisions using independent judgment on moderate difficulty claims and policy coverages and determines if coverages apply to claims submitted.
- Investigates, evaluates, negotiates, and adjudicates first and third-party claims to determine validity and verify extent of damage by telephone contact with clients, claimants, witnesses or other parties as required.
- Analyses claims activity and prepares reports for clients/carriers and management.
- Establish 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.
- Make settlement decisions 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.
- Analyses claims activities and prepares reports for clients, carriers and/or management. Participates in claim reviews.
Skills:
- Ability to work independently while assimilating various technical subjects. Good verbal or written communication skills.
- Demonstrated ability to gather and analyse information, determine a course of action, and implement the selected course of action.
- Strong ability to identify, analyse and solve problems.
- Effective interpersonal skills to be capable of dealing with external sources and all levels of employees.
Education:
- Bachelor's degree or equivalent experience required.
- Comprehensive claims investigations/settling experience 1-3 years’experience in Claims or similar organization.
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