Sr Claim Examiner- WC

Investigate and settle complex claims promptly and equitably, utilizing claims best practices, while evaluating and setting reserves using independent judgment. Conduct training and mentor new hires.

Requirements

• Interprets and makes decisions using independent judgment on complex policy coverages and determines if coverages apply to claims submitted.
• Manages all aspects of investigative activity on complex claims, directing the discovery and litigation strategy with legal counsel.
• Analyzes claims activity and prepares reports for clients/carriers and management, establishing reserves and authorizing payments within scope of authority.
• Settles claims promptly and equitably, issues company drafts in payments for claims within authority limits, develops subrogation and third party recovery potential and follows reclaim procedures.
• Participates in claim reviews and analyzes claims activities to prepare reports for clients, carriers and/or management.

Benefits

• Pay and incentive plans that recognize performance excellence
• Benefit programs that empower financial, physical, and mental wellness
• Training programs that promote continuous learning and career progression while enhancing job performance
• Sustainability programs that give back to the communities in which we live and work
• A culture of respect, collaboration, entrepreneurial spirit and inclusion