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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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About Folsom, CA
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!
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