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TPI Global (formerly Tech Providers, Inc.)
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Sr Claim Examiner- WC
Brea, CA US
Posted: 12/05/2024
2024-12-05
2025-02-19
Job Number: 24345776
Job Description
Position- Sr Claim Examiner- WC
Location- Remote
Duration- 03 Months contract (High Possibility to extend)
Duties:
Skills:
Location- Remote
Duration- 03 Months contract (High Possibility to extend)
Duties:
- 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
- Demonstrated ability to gather and analyze information, determine a course of action and implement the selected course of action.
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About Brea, CA
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.
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