Senior Claims Investigator

4 weeks ago


Birmingham, Alabama, United States Spherion Full time
Job Summary

As a Senior Claims Investigator at Spherion, you will be responsible for investigating, evaluating, and determining the compensability of claims. This role requires strong analytical and problem-solving skills, as well as the ability to work independently and as part of a team.

Key Responsibilities

Investigate and evaluate claims to determine compensability
Perform investigative duties on a case-by-case basis
Resolve compensable claims within applicable laws and statutes
Manage a caseload of questionable, traumatic injuries, and/or litigated claims
Estimate reserving for projected cost of claims through resolution
Make referrals to nurse case managers as needed
Direct claim assistants on duties to be performed for handling of claims
Negotiate settlements and attend mediations to resolve claims within designated authority

Requirements

Bachelor's degree or equivalent combination of education and experience
4-7 years of experience in claims investigation and resolution
Strong analytical and problem-solving skills
Ability to work independently and as part of a team
Excellent communication and negotiation skills

About Spherion

Spherion is an equal opportunity employer and welcomes people of all abilities. We offer a comprehensive benefits package and an incentive and recognition program. If you require a reasonable accommodation to make your application or interview experience a great one, please contact us.

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