What are the responsibilities and job description for the Sr Claim Examiner- WC position at TPI Global (formerly Tech Providers, Inc.)?
Position- Sr Claim Examiner- WC
Location- Remote
Duration- 03 Months contract (High Possibility to extend)
Note : Valid NY Adjusters License
Duties :
- Receives claim assignment, confirms policy coverages, and directs acknowledgement of claims.
- Interprets and makes decisions using independent judgment on moderate difficulty claims and policy coverages and determines if coverages apply to claims submitted.
- Investigates, evaluates, negotiates, and adjudicates first and third-party claims to determine validity and verify extent of damage by telephone contact with clients, claimants, witnesses or other parties as required.
- Analyses 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.
- Make settlement decisions 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.
- Analyses claims activities and prepares reports for clients, carriers, and / or management. Participates in claim reviews.
Skills :
