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Insurance Examiner

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. Details: Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.

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https://www.youtube.com/watch?v=D4SGf2icuQ8

Title: Sr Claim Examiner- WC Location: REMOTE Duration: 3 months plus extensions MUST SUBMIT Valid NY Adjusters License Details:<ul><li> Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted. </li><li> Manages all aspects of investigative activity on complex claims. Directs the discovery and litigation strategy with legal counsel. </li><li> Analyzes claims activity and prepares reports for clients/carriers and management. </li><li> 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. </li><li> Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits. </li><li> Develops subrogation and third party recovery potential and follows reclaim procedures. </li><li> Analyzes claims activities and prepares reports for clients, carriers and/or management. Participates in claim reviews. </li><li> Ability to work independently while assimilating various technical subjects. </li><li> Strong written and oral communication, negotiation and presentation skills. </li><li> Advanced analytical and problem solving skills, with the ability to manage and prioritize multiple projects. </li></ul> Looking fort:<ul><li> Bachelor's degree or equivalent experience. </li><li> Technical claims investigations/settling experience with 4-8 years experience in Claims or similar organization. </li><li> Workers Compensation (WC) Adjuster License required according to jurisdictional requirements. </li></ul> Preferred: - Industry designations such as IIA, AIC, AEI and/or CPCU #TB_EN

For over 20 years, TalentBurst Inc. has been an award-winning provider of cutting-edge Workforce Management Solutions. With a strong commitment to staying ahead in the tech landscape, we pioneer innovative approaches to talent acquisition. Our expertise spans Life Sciences, and Healthcare Staffing, Banking, Financial, IT, and Engineering, as well as Global Employer of Record (EOR), Agent of Record (AOR), State, Local Government and Education (SLED), and IC validation/compliance services. Additionally, our division, TalentProcure, leads the industry with offerings such as High Hazard Payroll, Managed Services, and Vendor on Premise (VOP) solutions.
Due to our prioritization of excellent standards, we are Joint Commission Certified and are a certified Minority Business Enterprise (MBE) in the USA and Canada. Supporting over 130 Fortune 500 companies globally, we excel in navigating the landscape of talent acquisition. In a world of constant change, we embrace developing people-centric solutions that address the unique demands of our clients. Stay connected by visiting our website and following us on social media!

TalentBurst

Sr Claim Examiner- WC

Analysis Skills

Claims Processing

Disbursements

Establish Priorities

Legal

Litigation

Multitasking

Negotiation Skills

Presentation/Verbal Skills

Problem Solving Skills

Reporting Skills

Subrogation

Time Management

Worker's Compensation

Writing Skills

CareerBuilder Priority for Arb

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