Insurance Claims Examiner
4 weeks ago
Job Summary
We are seeking a highly skilled Claims Resolution Expert to join our team at Intercare Holdings Insurance Services, Inc. As a Claims Resolution Expert, you will be responsible for effectively managing to conclusion an assigned inventory of claim files in accordance with applicable statutes and company rules.
Key Responsibilities
- Perform a three-point contact on all new losses within 24 hours of receipt of the claim to document relevant facts surrounding the incident.
- Thoroughly gather evidence regarding ongoing case facts and relevant information necessary for establishing compensability.
- Assure that all assigned indemnity claims have an up-to-date plan of action outlining activities and actions anticipated for ultimately resolving the claim.
- Form a partnership with the medical case manager to maximize early return to work potential.
- Initiate the referral to the SIU of cases with suspected fraud.
- Aggressively pursue subrogation from culpable third parties.
Requirements
- Bachelor's degree or 3-5 years of related experience and training.
- Working knowledge of the Labor Code of the State of California as it pertains to workers compensation claims.
About Us
Intercare Holdings Insurance Services, Inc. is a leading provider of insurance services. We are committed to providing our customers with exceptional service and support.
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