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Sr Claim Examiner- WC
4 months ago
Honolulu, HI
4+ month contract
Duties:
- Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted
- 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.
Required Qualification
- Bachelor's degree or equivalent experience
- Technical claims investigations/settling experience with 4-8 years experience in Claims or similar organization
- Workers Compensation (WC) Adjuster License required according to jurisdictional requirements.
