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WORKERS COMPENSATION LOST TIME CLAIMS EXAMINER / ADJUSTER
A Work From Home / Remote Opportunity.
– To manage a claims caseload from inception to closure.
– Active Adjuster Licenses preferred, as needed.
Position Summary:
Investigates, evaluates, disposes and settles the most complex claims and highest exposures with minimal supervision. Includes the investigation, determination and evaluation of coverage, liability and damages, and the setting of proper reserves. Incumbents at this level typically hold claims reserve and settlement authority of up to $10,000 liability and/or $25,000 workers compensation or greater.
Essential Duties & Responsibilities:
- Exercises proper judgment and decision making to analyze the claims exposure, to determine the proper course of action and to appropriately settle the claim.
- Interacts extensively with various parties involved in the claim process.
- Able to clearly communicate concise action plans, and present plans for moving the case to conclusion.
- Will demonstrate complete knowledge of the claim file process through presentation of actions and responses to client questions.
- Processes claims consistent with clients’ and corporate policies, procedures and “best practices” and also in accordance with any statutory, regulatory and ethics requirements.
- Demonstrated ability to comply with carrier reporting and threshold requirements.
- Able to recognize and pursue excess insurance recoveries. Incumbents will have the ability to handle a full caseload, with proven ability to handle cases of increased severity.
Required:
- High school diploma
- 4 or more years related claims experience required
- Appropriately licensed and/or certified in all states in which claims are being handled
- Extensive knowledge of accepted industry standards and practices Computer experience with related claims and business software
Desired:
- Bachelor’s Degree
COMMERCIAL AUTO CLAIMS ADJUSTER / EXAMINER
A Work From Home / Remote Opportunity.
– To manage a claims caseload from inception to closure.
– Commercial Auto Claims including – Bodily Injury – Property Damage – Liability.
– Active Adjuster Licenses preferred, as needed.
Position Summary:
Investigates, evaluates, disposes and settles the most complex claims and highest exposures with minimal supervision. Includes the investigation, determination and evaluation of coverage, liability and damages, and the setting of proper reserves. Incumbents at this level typically hold claims reserve and settlement authority of up to $10,000 liability and/or $25,000 workers compensation or greater.
Essential Duties & Responsibilities:
- Exercises proper judgment and decision making to analyze the claims exposure, to determine the proper course of action and to appropriately settle the claim.
- Interacts extensively with various parties involved in the claim process.
- Able to clearly communicate concise action plans, and present plans for moving the case to conclusion.
- Will demonstrate complete knowledge of the claim file process through presentation of actions and responses to client questions.
- Processes claims consistent with clients’ and corporate policies, procedures and “best practices” and also in accordance with any statutory, regulatory and ethics requirements.
- Demonstrated ability to comply with carrier reporting and threshold requirements.
- Able to recognize and pursue excess insurance recoveries. Incumbents will have the ability to handle a full caseload, with proven ability to handle cases of increased severity.
Required:
- High school diploma
- 5 or more years related claims experience required
- Appropriately licensed and/or certified in all states in which claims are being handled
- Extensive knowledge of accepted industry standards and practices Computer experience with related claims and business software
Desired:
- Bachelor’s Degree
COMMERCIAL GENERAL LIABILITY CLAIMS ADJUSTER / EXAMINER
A Work From Home / Remote Opportunity.
– To manage a claims caseload from inception to closure.
– Commercial General Liability Claims including – Slip-n-Falls, Premies, Product, Construction Liability, etc.
– Active Adjuster Licenses preferred, as needed.
Position Summary:
Investigates, evaluates, disposes and settles the most complex claims and highest exposures with minimal supervision. Includes the investigation, determination and evaluation of coverage, liability and damages, and the setting of proper reserves. Incumbents at this level typically hold claims reserve and settlement authority of up to $10,000 liability and/or $25,000 workers compensation or greater.
Essential Duties & Responsibilities:
- Exercises proper judgment and decision making to analyze the claims exposure, to determine the proper course of action and to appropriately settle the claim.
- Interacts extensively with various parties involved in the claim process.
- Able to clearly communicate concise action plans, and present plans for moving the case to conclusion.
- Will demonstrate complete knowledge of the claim file process through presentation of actions and responses to client questions.
- Processes claims consistent with clients’ and corporate policies, procedures and “best practices” and also in accordance with any statutory, regulatory and ethics requirements.
- Demonstrated ability to comply with carrier reporting and threshold requirements.
- Able to recognize and pursue excess insurance recoveries. Incumbents will have the ability to handle a full case load, with proven ability to handle cases of increased severity.
Required:
- High school diploma
- 5 or more years related claims experience required
- Appropriately licensed and/or certified in all states in which claims are being handled
- Extensive knowledge of accepted industry standards and practices Computer experience with related claims and business software
Desired:
- Bachelor’s Degree
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