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TPI Global (formerly Tech Providers, Inc.)
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Sr Claim Examiner- WC
Posted: 01/09/2025
2025-01-09
2025-02-19
Job Number: 24494105
Job Description
Position- Claim Examiner- WC
Location-Remote
Duration- 03+ Months contract (High Possibility to extend)
Duties:
Location-Remote
Duration- 03+ Months contract (High Possibility to extend)
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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