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TPI Global (formerly Tech Providers, Inc.)
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Sr Claim Examiner- WC
Folsom, CA US
Posted: 08/10/2023
2023-08-10
2023-10-26
Job Number: 20301208
Job Description
Position: Sr Claim Examiner- WC
Location: Folsom, CA 95630 (Onsite)
Duration: 04+ Months of Contract
Duties:
Location: Folsom, CA 95630 (Onsite)
Duration: 04+ Months of Contract
Duties:
- Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.
- Manages all aspects of investigative activity on complex claims. Directs the discovery and litigation strategy with legal counsel.
- Analyzes 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.
- Settles claims 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.
- Bachelor' s degree or equivalent experience.
- Technical claims investigations/settling experience with 4-8 years’ experience in Claims or similar organization.
- Workers Compensation (WC) Adjuster License required according to jurisdictional requirements.
- Preferred: - Industry designations such as IIA, AIC, AEI and/or CPCU.
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Ready to take your career to new heights in Folsom, California? Dive into our job listings in this vibrant area nestled in the heart of beautiful Sacramento County. Folsom offers a perfect blend of stunning nature with the nearby Folsom Lake and picturesque trails, along with a bustling tech scene and a rich cultural heritage. Home to the iconic Folsom Prison and the Folsom Powerhouse State Historic Park, this city boasts a unique charm that's hard to resist. Explore opportunities in this thriving community near top-rated restaurants, the Harris Center for the Arts, and a short drive to the Golden 1 Center, home of the Sacramento Kings. Discover why Folsom is more than a place to work – it's a destination for growth and fulfillment!