Job Description

Sr. Workers' Compensation Claim Examiner

Top 3 Skills:

  • Workers' Compensation claims adjusting and litigation management
  • Reserve setting and settlement authority
  • Coverage interpretation and complex claims investigation

What You'll Do

  • Interpret policy coverages and make independent judgment calls on complex, unusual claims
  • Manage full-cycle investigations on complex WC claims from intake through resolution
  • Direct discovery and litigation strategy alongside legal counsel
  • Set and adjust reserves using independent judgment; authorize payments within your scope of authority
  • Settle claims promptly, issue drafts, and ensure timely disbursements
  • Identify and develop subrogation and third-party recovery opportunities
  • Prepare claims activity reports for clients, carriers, and internal management
  • Participate in claim reviews

What...

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