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Posted: 04/10/2024 Job Number: 21976972

Job Description

Position: Claim Examiner- WC
Location: Livonia, MI
Duration: 01+ Months (Contract)

Note- Must have MI experience and license. Must be a resident of MI.
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.

Meet Your Recruiter

Praveen Shahi

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About Livonia, MI

Discover your next career opportunity in Livonia, Michigan, and unlock endless growth possibilities in this vibrant city! Nestled in the heart of the Great Lakes State, Livonia offers a perfect blend of suburban charm and urban convenience. From the charming parks like Rotary Park and Bicentennial Park to the vibrant Livonia Arts Commission showcasing local talent, this city has something for everyone. With easy access to Detroit's professional sports teams like the Lions and Tigers, as well as cultural venues like the Detroit Institute of Arts, Livonia provides a unique backdrop for a fulfilling career. Explore our job listings today and take your career to new heights in Livonia!