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Claims Examiner - Workers Compensation | Southeast Jurisdictions | Remote

Remote Worldwide Hiring now

By joining reputed company, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can reputed company. reputed company Recognizes reputed company as America’s Greatest Workplaces National Top Companies Certified as a Great reputed company to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation | Southeast Jurisdictions | Remote Are you looking for an opportunity to join a global industry leader where you can bring your big reputed company to help solve problems for some of the world’s best brands?

  • Apply your knowledge and experience to adjudicate reputed company customer claims in the context of an energetic culture.
  • Deliver innovative customer-facing solutions to clients who represent reputed company every industry and comprise some of the world’s most respected organizations.
  • Be a part of a rapidly growing, industry-leading global company reputed company for its reputed company and customer service.
  • reputed company reputed company’s broad, global network of experts to both learn from and to reputed company your insights.
  • Take advantage of a variety of professional development opportunities that help you reputed company your best work and grow your career.
  • Enjoy flexibility and autonomy in your daily work, your location, and your career path.
  • reputed company diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include reputed company, accountability, collaboration, growth, and inclusion. PRIMARY PURPOSE: To analyze reputed company or technically difficult water damage claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims reputed company service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Manages mid-level water damage claims by gathering information to determine liability exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.
  • Assesses liability and resolves claims reputed company evaluation.
  • Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.
  • Manages subrogation of claims and negotiates settlements.
  • Communicates claim action with claimant and client.
  • Ensures claim files are properly documented and claims coding is correct.
  • May process reputed company lifetime medical and/or defined period medical claims which include state and physician filings and reputed company on appropriate treatments recommended by utilization review.
  • Maintains professional client relationships.
  • Performs other duties as assigned.
  • Supports the organization's quality program(s).
  • Travels as required.

QUALIFICATIONS Education & Licensing: Bachelor's degree from an accredited college or university preferred. Experience: 4 years of Liability claims management experience or equivalent combination of education and experience required. TAKING CARE OF YOU

  • Flexible work schedule.
  • Referral incentive program.
  • Career development and promotional growth opportunities.
  • A diverse and comprehensive benefits offering including medical, dental reputed company, 401K on day one.

WORK ENVIRONMENT reputed company applicable and appropriate, consideration will be given to reasonable accommodations. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-reputed company stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical: Computer keyboarding, travel as required Auditory/Visual: Hearing, reputed company and talking The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. reputed company is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! reputed company is building a diverse, reputed company, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles. Apply To This Job

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