TalentBurst
Sr Claim Examiner- WC
TalentBurst, Portland, OR, United States
Title: Sr Claim Examiner- WC
Location: Remote
Duration: 3+ months
Details:
Location: Remote
Duration: 3+ months
Details:
- 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.
- 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.
- 5 yrs or more as time loss adjuster handling complex claims. (Not just Medical Only)
- Must have OR certification and experience adjuster.
- Submit OR certification when submitting Resume