Sr Claim Examiner- WC CA

33897371To be considered for an interview, please make sure your application is full in line with the job specs as found below. Sr Claim Examiner- WC Location : 675 Placentia Avenue, Suite 350, Brea CA 92821 Hybrid role & California required License and Spanish is a Plus ( Speak, Read ) Duration : 3 Months Description : 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 claimsDirects 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 managementParticipates 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 organizationWorkers Compensation (WC) Adjuster License required according to jurisdictional requirementsPreferred: - Industry designations such as IIA, AIC, AEI and/or CPCU

Created: 2024-11-11