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TPI Global (formerly Tech Providers, Inc.)
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Claim Examiner- WC (Remote)
Posted: 05/07/2024
2024-05-07
2024-07-11
Job Number: 22142485
Job Description
Role: Claim Examiner- WC
Location: Remote
Duration: 03+ Months Contract (Possible Extension)
Job Duties:
Location: Remote
Duration: 03+ Months Contract (Possible Extension)
Job Duties:
- 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.
- 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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