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Claims Examiner, Workers Compensation I, SE Jurisdictions

Work from home Full-time role Hiring

Job Description:

  • Analyze workers compensation claims on behalf of our valued clients to determine benefits due.
  • Ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
  • Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
  • Negotiating settlement of claims within designated authority.
  • Communicating claim activity and processing with the claimant and the client.
  • Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

Requirements:

  • 5 years of claims management experience or equivalent combination of education and experience required.
  • High School Diploma or GED required.
  • Bachelor's degree from an accredited college or university preferred.
  • Professional certification as applicable to line of business preferred.
  • Licensing / Jurisdiction Knowledge: FL, GA, LA, SC, NC, TX

Benefits:

  • Flexible work schedule.
  • Referral incentive program.
  • Opportunity to work in an agile environment.
  • Career development and promotional growth opportunities.
  • A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

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