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Senior Claim Representative

3 months ago

Birmingham, Alabama, United States Spherion Full time

Investigates, evaluates and determines compensability of claims, by performing the following duties.

Responsibilities:
Assigned duties of Senior Claim Representative as required on daily basis.

Performs investigative duties as required on case by case basis.

Resolves compensable claims within applicable laws & statutes.

Responsible for caseload of questionable, traumatic injuries and/or litigated claims.

Estimates reserving for projected cost of claims through resolution, including indemnity, permanency, medical treatment, etc.

Makes referral to nurse case manager if additional medical support is required, and for surveillance when necessary.

Directs claim assistants on duties to be performed for handling of claims.

Negotiate settlement and /or attend mediations to resolve/settle claims within designated authority.

Working hours: 8:00 AM - 4:00 PM

Skills:
see required

Education:
Bachelors

Experience:
4-7 years

Qualifications:
BS Degree or equivalent combination of education and 5-7 years or more of directly related experience. combination of education and experience.

Direct hire in Hoover

Spherion has helped thousands of people just like you find work happiness Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temp-to-perm or direct hire opportunities, no one works harder for you than Spherion.

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Spherion, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Spherion offers a comprehensive benefits package, including health, and an incentive and recognition program (all benefits are based on eligibility).

key responsibilities

Assigned duties of Senior Claim Representative as required on daily basis.Performs investigative duties as required on case by case basis.Resolves compensable claims within applicable laws & statutes. Responsible for caseload of questionable, traumatic injuries and/or litigated claims.Estimates reserving for projected cost of claims through resolution, including indemnity, permanency, medical treatment, etc. Makes referral to nurse case manager if additional medical support is required, and for surveillance when necessary. Directs claim assistants on duties to be performed for handling of claims.Negotiate settlement and /or attend mediations to resolve/settle claims within designated authority.

experience

4-7 years

skills

see required

qualifications

BS Degree or equivalent combination of education and 5-7 years or more of directly related experience. combination of education and experience.

education

Bachelors