Workers Compensation Claims Examiner

Position Summary

• GREAT WORK FROM HOME CAREER OPPORTUNITY!
• Monthly Bonus Program!
• Candidates must have experience handling Colorado and Utah WC claims!

Investigate, evaluate, negotiate, and settle moderate difficulty type claims; takes appropriate action to achieve results that have a positive impact on profitability. Settle claims for assigned lines of business promptly and equitably under general supervision.

RESPONSIBILITIES

• 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.
• 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.
• 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.
• Analyzes claims activities and prepares reports for clients, carriers and/or management. Participates in claim reviews.

REQUIREMENTS

• Comprehensive claims investigations/settling experience 1-3 years experience in Claims or similar organization.
• Ability to work independently while assimilating various technical subjects.
• Good verbal or written communication skills.
• Demonstrated ability to gather and analyze information, determine a course of action and implement the selected course of action.
• Strong ability to identify, analyze and solve problems.
• Effective interpersonal skills to be capable of dealing with external sources and all levels of employees.

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Referral program
• Retirement plan

Application Question(s):

• How many years of Workers Compensation claims adjusting/examining experience do you possess?

Work Location: Remote