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Claim Examiner- WC

TPI Global (formerly Tech Providers, Inc.)

  • Brea, CA
  • 30+ days ago
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    Skills

    • Analysis Skillsunmatched
    • Disbursementsunmatched
    • Establish Prioritiesunmatched
    • Legalunmatched
    • Litigationunmatched
    • Multitaskingunmatched
    • Negotiation Skillsunmatched
    • Presentation/Verbal Skillsunmatched
    • Problem Solving Skillsunmatched
    • Reporting Skillsunmatched
    • Subrogationunmatched
    • Time Managementunmatched
    • Writing Skillsunmatched

    Description

    Description:
    • Sr Claim Examiner- WC
    • 03-month contract with possible extension or conversion
    • Remote
     
    Note: Must have multiple years'experience handling CA WC. Must work in PST hours .
     
    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
     
    Thanks & Regards

    Numbers & Facts

    LocationBrea, CA

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