What are the responsibilities and job description for the Claims Examiner position at Adecco USA?
Adecco is assisting their client with their search for a Claims Examiner.
Type : 40hrs / wk. Contract
Start Date : 1-2 weeks.
Location : ORLANDO FL 32801
Pay : $ 45.00
Shift : 8 AM - 4 : 30 PM
Description :
Analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
Negotiates settlement of claims within designated authority.
Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level.
Prepares necessary state fillings within statutory limits.
Manages the litigation process; ensures timely and cost effective claims resolution.
Coordinates vendor referrals for additional investigation and / or litigation management.
Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.
Typing 40-50 WPM or better
Able to learn new system in fast-paced environment
Follow direction well
Must have 3 years working knowledge of NC laws / rules / regulations and form filing requirements
Workers' Compensation Clams Examiner with 3 years managing Lost Time, Litigated claims - needs NC, SC experience and licensing.
IMPORTANT : This job is being recruited for by Adecco's National Recruitment Center, not your local Adecco Branch Office. To be considered for this position, you must Apply Now.
Pay Details : $45.00 per hour
Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.
Equal Opportunity Employer / Veterans / Disabled
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The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and / or security clearance requirements, including, as applicable :
- The California Fair Chance Act
- Los Angeles City Fair Chance Ordinance
- Los Angeles County Fair Chance Ordinance for Employers
- San Francisco Fair Chance Ordinance
Salary : $45
