Sr Claim Examiner- WC - Abacus Service Corporation

REMOTE, CA 92821

About the Job

Department:

06311 | SRMS | R0036 | BUS : BP WC Brea - 06311

Job Category:

Claims

Job Code:

Sr Claim Examiner- WC:BS0160

Job Title:

Sr Claim Examiner- WC

Keywords:

Number of Positions:

Remaining Positions:

Duties:

Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted. - Manages all aspects of investigative activity on complex claims. Directs the discovery and litigation strategy with legal counsel. - 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.

Skills:

Ability to work independently while assimilating various technical subjects. - Strong written and oral communication, negotiation and presentation skills. - Advanced analytical and problem solving skills, with the ability to manage and prioritize multiple projects.

Education:

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. Preferred: - Industry designations such as IIA, AIC, AEI and/or CPCU

Languages:

Spanish

Read

Write

Speak

Certifications & Licenses:

CPCU
IIA

Attachments:

Skills and Experience

Skills:	Required CLAIMS PAYMENTS CLAIMS LITIGATION CPCU PRESENTATION SKILLS WORKERS COMPENSATION CLAIMS HANDLING Additional PROBLEM SOLVING TECHNICAL CLAIMS CLAIMS LITIGATION STRATEGY PAYMENTS
Languages:	Spanish( Speak, Read )
Minimum Degree Required:	Completed High School (Diploma or GED)
Also Preferred:

Location

Client Location
Country:	United States
State/Province:	California
City:	Brea
Address:	675 Placentia Avenue, Suite 350, CA0001
POSTAL CODE:	92821

Work Location
Same as Client Location
Other Client Location
Work Completed Offsite

Schedule

Start Date:	10/04/2024	Hours Per Week:	40.00
Est. End Date:	12/31/2024	Hours Per Day:	8.00
Schedule Notes:		Days Per Week:	5.00

Source : Abacus Service Corporation

Sr Claim Examiner- WC - Abacus Service Corporation

REMOTE, CA 92821

About the Job

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