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Sr Claim Examiner- WC

newtown sq, PA

Posted: 07/31/2026 Job Number: 28987055

Job Description

Description:
  • Sr Claim Examiner- WC
  • 04-month contract with possible extension or conversion
  • Remote
Note: Must support EST anywhere from USA .  
 
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.
 
Skills:
  • Ability to work independently while assimilating various technical subjects. 
  • Strong written and oral communication, negotiation and presentation skills. 
  • Advanced analytical and problem-solving skills, with the ability to manage and prioritize multiple projects.
 
Education:
  • Bachelor's degree or equivalent experience required.
  • Comprehensive claims investigations/settling experience 1-3 years’experience in Claims or similar organization

Meet Your Recruiter

Ajeet Singh

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