Tech Providers,
Position- Sr Claim Examiner- WC
Location- Remote
Duration- 04 Months contract (High Possibility to extend)
Note : Required WC experience for IL and WI, MN, OH, IN ,IA, IL, MO, ND, SD would be plus.
Duties:
Receives claim assignment, confirms policy coverages, and directs acknowledgement of claims. Interprets and makes decisions using independent judgment on moderate difficulty claims and policy coverages and determines if coverages apply to claims submitted. Investigates, evaluates, negotiates, and adjudicates first and third-party claims to determine validity and verify extent of damage by telephone contact with clients, claimants, witnesses or other parties as required. Analyses 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. Make settlement decisions 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. Analyses claims activities and prepares reports for clients, carriers, and/or management. Participates in claim reviews.
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Note : Required WC experience for IL and WI, MN, OH, IN ,IA, IL, MO, ND, SD would be plus.
Duties:
Receives claim assignment, confirms policy coverages, and directs acknowledgement of claims. Interprets and makes decisions using independent judgment on moderate difficulty claims and policy coverages and determines if coverages apply to claims submitted. Investigates, evaluates, negotiates, and adjudicates first and third-party claims to determine validity and verify extent of damage by telephone contact with clients, claimants, witnesses or other parties as required. Analyses 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. Make settlement decisions 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. Analyses claims activities and prepares reports for clients, carriers, and/or management. Participates in claim reviews.
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