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Claim Examiner- WC

Minneapolis, MN

Posted: 06/11/2024 Job Number: 22382253

Job Description

Role: Claims Specialist-WC
Location: Minneapolis, MN (Remote)
Duration: 02+ Months Contract (Possible Extension)
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.
  • 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.
  • 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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