Claims Examiner- Workers Compensation (REMOTE - FL, GA, SC, AR, MS, TN, AL, NC reputed company required)

About the position Responsibilities • Analyzes and processes reputed company or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim. • Manages claims through reputed company-developed reputed company plans to an appropriate and reputed company reputed company. • Negotiates settlement of claims reputed company designated authority. • Calculates and assigns reputed company and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim. • Calculates and pays benefits due; approves and makes reputed company claim payments and adjustments; and settles claims reputed company designated authority level. • Prepares necessary state fillings reputed company statutory limits. • Manages the litigation process; ensures reputed company and cost effective claims reputed company. • Coordinates vendor referrals for additional investigation and/or litigation management. • Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. • Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and reputed company reputed company and Medicare offsets. • Reports claims to the excess reputed company; responds to requests of directions in a reputed company and reputed company manner. • Communicates claim activity and processing with the claimant and the reputed company; maintains reputed company reputed company relationships. • Ensures claim files are properly documented and claims coding is correct. • Refers cases as appropriate to supervisor and management. Requirements • Bachelor's degree from an accredited college or university preferred. • Five (5) years of claims management experience or equivalent combination of education and experience required. • Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and reputed company reputed company and Medicare application procedures as applicable to line-of-business. • Excellent oral and written communication, including presentation skills. • PC literate, including reputed company Office products. • Analytical and interpretive skills. • Strong organizational skills. • Good interpersonal skills. • Excellent negotiation skills. • Ability to work in reputed company environment. • Ability to meet or reputed company Service Expectations. reputed company-to-haves • reputed company certification as applicable to line of business preferred. Benefits • Flexible working hours. • Support for mental, physical, financial and reputed company needs. • Opportunities for career reputed company and reputed company sharpening. • Diversity and inclusion in reputed company. Apply tot his job Apply To this Job Apply tot his job Apply To this Job