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Claim Examiner- WC

Lake Zurich, IL

Posted: 05/22/2023 Job Number: 19811215

Job Description

Job Description:
Title:  Claim Examiner- WC.
Location: Lake Zurich, IL 60047 (100% Remote).
Duration: 1+ Months Contract. (Highest Possibility of Extension or Conversion into Full time hire).
  • 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.
  • Analyze 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.
Must have experience handling Ohio WC claims, IN, WI a plus. Yes, this position will be 100% remote.
Comprehensive claims investigations/settling experience 1-3 years' experience in Claims or similar organization.
Skills Required:
  • Ability to work independently while assimilating various technical subjects.
  • Good verbal or written communication skills.
  • Demonstrated ability to gather and Analyze information, determine a course of action and implement the selected course of action.
  • Strong ability to identify, Analyze and solve problems.
  • Effective interpersonal skills to be capable of dealing with external sources and all levels of employees.
Education Required:
  • Bachelor' s degree or equivalent experience required.
  • Comprehensive claims investigations/settling experience 1-3 years’ experience in Claims or similar organization.

Meet Your Recruiter

Sumit Singh

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