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Position- Sr Claim Examiner- WC
Location- Remote
Duration- 02 Months contract (High Possibility to extend)
Required: OR WC license required
Duties:
Skills:
Sr Claim Examiner- WC
Portland, OR US
Posted: 11/26/2024
2024-11-26
2025-02-14
Job Number: 24307812
Job Description
Position- Sr Claim Examiner- WC
Location- Remote
Duration- 02 Months contract (High Possibility to extend)
Required: OR WC license required
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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