What are the responsibilities and job description for the Sr Claim Examiner- WC position at TalentBurst, Inc.?
Job Title : -Sr Claim Examiner- WC
Location : - Open For 100% Remote
Duration : 6 months with possible extensions or conversion into fulltime
Candidate NEEDS to be submitted with an Oregon W / C Certification AND Must be certified to handle OR Workers Comp Claims and have 5 years experience handling OR Lost Time Claims.
Role is REMOTE worker can work from anywhere in the US but MUST have experience in the 5 years or more experience in OREGON wc / loss time claims, and have their Oregon Certification.
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.
Ability to work independently while assimilating various technical subjects.
Bachelor's degree or equivalent experience. - Technical claims investigations / settling experience with 4-8 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
TB_EN
