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Sr Claim Examiner- Wc Job In Brea, California, Abacus Service Corporation

Published 2022-09-23
Expires 2022-10-23
ID #1181639815
Free
Sr Claim Examiner- Wc Job In Brea, California, Abacus Service Corporation
United States, California, Brea,
Published September 23, 2022

Job details:

Job type: Full time
Contract type: Permanent
Salary type: Per annum
Occupation: Sr claim examiner- wc


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Description





Department:

06311 | SRMS | R0036 | BUS : BP WC Brea - 06311



Job Category:

Claims



Job Code:

Sr Claim Examiner- WC:BS0160



Job Title:

Sr Claim Examiner- WC



Keywords:



Number of Positions:

1



Remaining Positions:

1



Duties:

Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted. - Manages all aspects of investigative activity on complex claims. Directs the discovery and litigation strategy with legal counsel. - 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. - Settles claims 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. - Strong written and oral communication, negotiation and presentation skills. - Advanced analytical and problem solving skills, with the ability to manage and prioritize multiple projects.



Education:

Bachelor's degree or equivalent experience. - Technical claims investigations/settling experience with 4-8 years experience in Claims or similar organization. Workers Compensation (WC) Adjuster License required according to jurisdictional requirements. Preferred: - Industry designations such as IIA, AIC, AEI and/or CPCU



Languages:



English

Read

Write

Speak



Certifications & Licenses:

CPCU



Attachments:



Skills and Experience



Skills:



Required



CPCU



PRESENTATION SKILLS



PROBLEM SOLVING



CLAIMS



LEGAL COUNSEL



Additional



LITIGATION



LITIGATION STRATEGY



PAYMENTS



WORKERS COMPENSATION



Languages:

English( Speak, Read, Write )



Minimum Degree Required:

Bachelor's Degree



Also Preferred:



Location



Client Location



Country:

United States



State/Province:

California



City:

Brea



Address:

675 Placentia Avenue, Suite 350, CA0001



Postal Code:

92821



Work Location



Same as Client Location



Other Client Location



Work Completed Offsite



Schedule



Start Date:

08/30/2022

Hours Per Week:

40.00



Est. End Date:

12/30/2022

Hours Per Day:

8.00



Schedule Notes:



Days Per Week:

5.00



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    Employer's info

    Registered on October 7, 2017

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    Law is a system of rules that are created and enforced through social or governmental institutions to regulate behavior. Law as a system helps regulate and ensure that a community show respect, and equality amongst themselves. State-enforced laws can be made by a collective legislature or by a single legislator, resulting in statutes, by the executive through decrees and regulations, or established by judges through precedent, normally in common law jurisdictions. Private individuals can create legally binding contracts, including arbitration agreements that may elect to accept alternative arbitration to the normal court process. The formation of laws themselves may be influenced by a constitution, written or tacit, and the rights encoded therein. The law shapes politics, economics, history and society in various ways and serves as a mediator of relations between people.


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