04-month contract with possible extension or conversion
Remote
Note: Must have multiple years'experience handling CA. Sr Claim Examiner- WC The examiner can work remotely.
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.
Numbers & Facts
Location
brea, CA
Skills
Analysis Skillsunmatched
Disbursementsunmatched
Legalunmatched
Litigationunmatched
Reporting Skillsunmatched
Subrogationunmatched
Time Managementunmatched
Work From Homeunmatched
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