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Claim Examiner- WC

Lake Zurich, IL

Posted: 01/17/2024 Job Number: 21113641

Job Description

Position: Claim Examiner
Location: Lake Zurich, IL
Duration: 3+ 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.
  • WC claim experience in IL, IN, WI other Midwest states a plus.
 
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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About Lake Zurich, IL

Ready to take your career to the next level? Explore our job opportunities in the vibrant Lake Zurich, Illinois area! Situated in the heart of Lake County, this picturesque town offers a perfect blend of suburban tranquility and urban excitement. With top-rated schools, beautiful parks like Paulus Park and Breezewald Park, and proximity to attractions like the Cuneo Mansion and Gardens, Lake Zurich is an ideal place to live and work. Enjoy a thriving cultural scene with galleries like the Ela Area Public Library and performances at the Quentin Road Bible Mime Theatre. Indulge in the delicious local cuisine at spots like Beelow's North Shore and The BBQ'd Productions. Find your dream job in this charming community that celebrates diversity, community spirit, and endless possibilities for personal and professional growth. Start your job search today!