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Claims Examiner - Workers Compensation

Sunrise Systems Inc

Alpharetta, GA

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JOB DETAILS
SKILLS
Case Management, Claims Processing, Communication Skills, Customer Support/Service, Documentation, Expense Analysis, Financial Trend Analysis, Multitasking, Organizational Skills, People Management, Presentation/Verbal Skills, Problem Solving Skills, Profit & Loss Analysis, Subrogation, Team Player, Time Management, Underwriting, Worker's Compensation, Writing Skills
LOCATION
Alpharetta, GA
POSTED
30+ days ago
Job Title: Claims Examiner - Workers Compensation
Location: Alpharetta, GA 30022
Duration: 3 Months (Temp to Perm)
 
**Need to be licensed in Georgia to handle work comp. Florida would be the next most important license, along with SC and NC.
 
Major Duties & Responsibilities:
  • Deliver superior customer service and satisfaction through effective interactions with insureds, claimants, agents, underwriters, and others.
  • Contribute to collaborative environment by consistently demonstrating teamwork, high motivation, behavior and effort to achieve goals and objectives.
  • Provide accurate and timely expense and loss assessments on Lost Time claims.
  • Timely and appropriately communicate with internal and external customers relative to account trends, issues, and claim activity.
  • Consistently demonstrate fundamentally sound claim handling by achieving compliance in the areas of investigation, coverage, loss assessment, and case management.
  • Ensure the establishment, documentation, and execution of appropriate strategies to bring early resolutions to assigned claims.
  • Recognize and properly address coverage issues, potential fraud, and subrogation; follow guidelines and completion of reporting forms.
  • Keep all files on a current diary system in order to monitor new developments, follow up on requests, update management and respond to all other diary activities in a timely manner.
  • Provide guidance and direction to team members with the ultimate goal of managing and resolving a claim.
 
Minimum requirements:
  • A personal commitment to superior performance that adds value to our company.
  • An ability to work effectively with a wide variety of people.
  • An aptitude for evaluating, analyzing and interpreting information.
  • Excellent organizational skills a must.
  • The ability to multi-task along with proven time management and organizational skills.
  • An ability to work well in teams.
  • Demonstrated critical thinking and decision making ability.
  • Excellent verbal and written communication skills.
 
Education/experience:
  • Adjuster's license to handle Workers Compensation claims is required and/or must be obtained immediately after hire date.
  • Bachelor's Degree or equivalent experience preferred.
  • Minimum of 3 years of Workers Compensation claim handling required.
 
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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