Hornet Staffing, Inc.
Sr Claim Examiner- WC
Hornet Staffing, Inc., Portland, OR, United States
Description:
- 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.
- 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.
- 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.
- Industry designations such as IIA, AIC, AEI and/or CPCU
- PRESENTATION SKILLS
- PROBLEM SOLVING
- CLAIMS
- TECHNICAL CLAIMS
- LITIGATION STRATEGY
- PAYMENTS