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TPI Global (formerly Tech Providers, Inc.)
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Claim Examiner- WC
Brea, CA US
Posted: 11/01/2023
2023-11-01
2024-01-06
Job Number: 20776521
Job Description
Claim Examiner- WC
Location –Brea, CA
Duration: 06+ month contract with possible extension and conversion
Job Roles
Location –Brea, CA
Duration: 06+ month contract with possible extension and conversion
Job Roles
- Receives claim assignment, confirms policy coverages, and directs acknowledgment 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.
- Analyzes 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.
- Analyzes claims activities and prepares reports for clients, carriers and/or management.
- Participates in claim reviews.
- CLIENT COMMUNICATION
- CLAIMS
- PAYMENTS
- 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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Ready to kickstart your career in the vibrant city of Brea, California? This bustling community in Orange County is a hub of growth and opportunity, making it an ideal location for job seekers looking to thrive. With its proximity to stunning beaches, world-class entertainment venues like the Brea Mall, and renowned art galleries such as the City of Brea Art Gallery, there's no shortage of charm and culture in this picturesque area. Explore our diverse job opportunities and embark on a career journey in a place known for its unique blend of urban amenities and outdoor recreation, making it a standout choice for professionals looking to grow both personally and professionally.