Claim Examiner- WC

Tech Providers in Dallas, TX

  • Industry: Financial Services - Insurance - Claim Adjuster
  • Type: Full Time
  • $70,000.00 - 99,050.00
position filled
Hope youre doing well! My name isMack Smithand I represent Tech Providers Inc., a leading IT staffing organization. We specialize in providing staff augmentation to services to Fortune list clients across USA.



At this time, I am searching for aClaim Examiner- WCfor acontractpositionfor one of my clients inDallas, TX.If you would be interested to pursue this opportunity, please get in touch with me as soon possible. My direct number is404-###-####.



Job Title:Claim Examiner- WC

Job Location:Dallas, TX

Project Duration: 2-3+ months contract position with a possibilityof extension

Shift:Monday to Friday:Regular Business Hours



Job Description:

  • 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.

  • 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.

  • 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.

  • Analyzes claims activities and prepares reports for clients, carriers and/or management. Participates in claim reviews.




Skills:


  • Ability to work independently while assimilating various technical subjects.

  • Good verbal or written communication skills.

  • Demonstrated ability together and analyze information, determine a course of action and implement the selected course of action.

  • Strong ability to identify, analyze and solve problems.

  • Effective interpersonal skills to be capable of dealing with external sources and all levels of employees.




Education:


  • Bachelor's degree or equivalent experience required.

  • Comprehensive claims investigations/settling experience 1-3 years experience in Claims or similar organization.


Associated topics: adjuster, auto, automobile, bodily, casualty, claim, damage, fraud, investigate, liability

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