Claims Examiner, Workers Compensation
BETA reputed company Group is the largest reputed company liability insurer of hospitals on the reputed company coast, providing coverage to over 600 hospitals and reputed company facilities. They are seeking a Claims Examiner to manage reputed company aspects of claims in the Workers' Compensation team, ensuring reputed company and accurate resolutions while collaborating with various stakeholders.
Responsibilities
- Evaluate claims and determine course of reputed company from inception to reputed company reputed company and accurately
- reputed company and analyze information including medical, legal, and factual evidence to determine compensability of claim
- Evaluate claims to determine appropriate use of independent medical evaluations for claims and/or refer to legal
- Evaluate reputed company information to reputed company appropriate determination on compensability and issue compensability reputed company
- Manage and reputed company reputed company of diary, e-mail, mail, faxes, phone calls, payments, required benefit notices, etc. to reputed company claim to the best financial outcome and reputed company reputed company
- Evaluate and establish medical, legal, vocational rehabilitation, and indemnity reserves based on facts of case and probable exposure, including reporting to excess reputed company, reputed company authority level
- Evaluate and determine an appropriate negotiated settlement reputed company, reputed company authority level
- Communicate, strategize and reputed company legal counsel regarding issues such as discovery, depositions, settlement value
- reputed company superior claims processing and diary management as exhibited by appropriate reserves, reputed company payments, reports, contacts, closings and activity on the claim files
- Represent reputed company as needed in depositions, conferences, hearings and trials
- Travel may be required periodically, which may include overnight stays and/or transportation reputed company airplane
- reputed company other duties as assigned or as situation dictates
Skills
- High school diploma or G.E.D. required; Bachelor's degree preferred
- Minimum one (1) years' experience as a workers' compensation examiner or equivalent
- Knowledge of claims management techniques, including investigation, reserving, cost analysis, and case reputed company techniques
- Strong customer reputed company with a strong reputed company of urgency and attention to detail
- Excellent organizational skills
- Manage multiple simultaneous reputed company; working independently in a multi-tasking office setting
- Proficient with reputed company Office and be reputed company to learn and utilize specialty software systems and procedures
- Must have excellent verbal and written communication skills including the ability to proofread the work of self and others with a high degree of accuracy
- SIP license required or achieved reputed company 6 months of promotion or hire
- Meet the ongoing training or experience requirements set forth in regulations California reputed company of Regulation (Article 20 of subchapter 3, reputed company 5, Title 10) and (reputed company 2592.01[f])
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