[Hiring] Claims Examiner @Jobgether

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Role Description

This position involves analyzing complex workers' compensation claims, ensuring that claims are adjudicated in accordance with service expectations and industry best practices.
• Analyze and process complex workers' compensation claims, managing them to timely resolutions.
• Negotiate settlements of claims within designated authority.
• Calculate reserves and manage their adequacy throughout the life of claims.
• Ensure timely claim payments and prepare necessary state filings.
• Manage the litigation process for claims resolution.
• Coordinate vendor referrals for investigation and litigation management.
• Implement cost containment strategies to minimize claims costs.
• Oversee claim recoveries and report claims to the excess carrier.

Qualifications
• Bachelor's degree from an accredited college or university preferred.
• Five (5) years of claims management experience or equivalent.
• Subject matter expert in insurance principles and laws.
• Excellent oral and written communication skills.
• Proficient in Microsoft Office and analytical skills.
• Strong organizational and interpersonal skills.
• Exceptional negotiation abilities and team collaboration.

Benefits
• Competitive salary range of $75,000 - $85,000/year.
• Comprehensive benefits package including medical, dental, and vision.
• 401(k) plan with matching contributions.
• Paid time off (PTO) and flexible spending accounts.
• Life and disability insurance.
• Employee assistance programs and additional voluntary benefits.

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