Demo

Sr Claim Examiner- WC

Abacus Service Corporation
Zurich, IL Full Time
POSTED ON 3/15/2025
AVAILABLE BEFORE 4/10/2025

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 - 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 : English Read Write Speak Certifications & Licenses : CPCU

IIA Attachments : Skills and Experience Skills : Required

  • EXCELLENT ORGANIZATIONAL SKILLS
  • PRESENTATION SKILLS
  • PROBLEM SOLVING

Additional

  • CLAIMS
  • TECHNICAL CLAIMS
  • LITIGATION STRATEGY
  • PAYMENTS
  • Languages : English( Speak, Read, Write ) Minimum Degree Required : Also Preferred : Location Client Location Country : United States State / Province : Illinois City : Lake Zurich Address : Corporate Drive, Suite , IL POSTAL CODE : Work Location Same as Client Location Other Client Location Work Completed Offsite Schedule Start Date : / / Hours Per Week : Est. End Date : / / Hours Per Day : Schedule Notes : Days Per Week :

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