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Claims Examiner-4

Sunrise Systems Inc

Portland, OR

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JOB DETAILS
SKILLS
Attorney, Background Investigation, Best Practices, Brokerage, Claims Processing, Communication Skills, Information/Data Security (InfoSec), Insurance, Interpersonal Skills, Investigative Reports, Policy Development, Reporting Skills, Team Lead/Manager, Work From Home, Worker's Compensation
LOCATION
Portland, OR
POSTED
1 day ago
Job Title: Claims Adjuster 4
Location: 12909 SW 68th Parkway, Tigard, OR 97223 (Hybrid)
Duration: 2 Months (Possibility of Extension)

Job Schedule:3 days in office, 2 days work from home. In office Tues-Thurs, WFH Monday/Friday

Major Duties & Responsibilities:
Duties include but are not limited to:
  • Under limited supervision, receives assignments and reviews claim and policy information to provide background for investigation and may determine the extent of the policy's obligation to the insured depending on the line of business.
  • Contacts, interviews and obtains statements from insureds, claimants, witnesses, physicians, attorneys, police officers, etc. to secure necessary claim information.
  • Evaluates facts supplied by investigation to determine extent of liability of the insured, if any, and extend of the company's obligation to the insured under the policy contract.
  • Prepares reports on investigation, settlements, denials of claims, individual evaluation of involved parties etc.
  • Sets reserves within authority limits and recommends reserve changes to Team Leader.
  • Prepares and submits to Team Leader unusual or possible undesirable exposures.
  • Settles claims promptly and equitably.
  • Obtains releases, proofs of loss or compensation agreements and issues company drafts in payments for claims.
  • Informs claimants, insureds/customers or attorney of denial of claim when applicable.
Desired Qualifications:
  • 2+ or more years' experience handling workers' compensation claims.
  • Strong communication and interpersonal skills to effectively interact with claimants, customers, insureds, brokers, attorneys, etc., in a positive manner regarding losses.
  • Ability to self-motivate and work independently.
  • Knowledge of company products, services, coverages, and policy limits, along with awareness of the company's claims best practices.
Education
  • Bachlor degree or WC Insurance experience
Ghouse: Ghouse.M@sunrisesys.com | (732) 395-4372 | URL: www.sunrisesys.com

About the Company

S

Sunrise Systems Inc

Sunrise Systems was founded in 1990 with a clear vision to deliver world-class staffing service solutions in all labor categories, including IT consulting and solutions; all with the commitment to provide service that exceeds expectations and become the most trusted name in the industry. More than two and a half decades later, we pride ourselves on being at the forefront of the staffing industry. Combining our deep industry expertise, insights, and global resources, we have partnered with our clients to connect them with top professionals across several different industries.

We provide cost-effective Managed Staffing Solutions, Information Technology and Information Technology Consulting Services to several Fortune 500 companies and U.S. Government agencies. We provide our clients with flexible engagement models and customized products that are budget and time specific. Understanding the challenges that every business faces, we offer our services either on-site at the clients' site or from one of our globally distributed technology centers. Our onshore and offshore development capabilities ensure that we excel at meeting customer requirements every single time.

Our collective business experience spans over two and a half decades and ranges from:

  • Business, management, and technical fields
  • Information technology consulting and software solutions.
  • Providing strategic support for the development and long-term growth of new business ventures across several industries including but not limited to; accounting, banking, finance, and recruitment.
  • Motivating technology staff and establishing partnerships with Fortune 500 companies

Sunrise Systems has a vast range of competence in:

  • Design, development, and support of cloud-based solutions from simple to highly complexed
  • Database administration of multi-platform applications, complex databases, and web-based environments that include all aspects of installation, planning, maintenance, and monitoring.
  • Data processing and data migration
  • Application re-engineering and platform migration
  • Working with the Information Systems and end-user communities at all levels to resolve issues and establish consensus.
COMPANY SIZE
100 to 499 employees
INDUSTRY
Staffing/Employment Agencies
FOUNDED
1990
WEBSITE
http://www.sunrisesys.com/

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