REMOTE POSITION / CLAIMS PROCESSOR

Claims Examiner At 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. As a Claims Examiner at reputed company, you'll have reputed company to take on new challenges and help solve reputed company problems. This is a remote, work-reputed company, telecommuter position. Be a part of a rapidly growing, industry-leading global company reputed company for its reputed company and customer service. Do you have experience as a Bodily Injury General Liability Claims Examiner working reputed company reputed company (captive) insurance program(s)? Are you skilled in coverage determination, handling litigated claims, and interpreting endorsements, nature of loss, and excluded coverages? To analyze reputed company or technically difficult general liability 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 reputed company service requirements; and to identify subrogation of claims and negotiate settlements. Analyzes and processes reputed company or technically difficult general liability 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. Assesses liability and resolves claims reputed company evaluation. 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. approves and makes reputed company claim payments and adjustments; and settles claims reputed company designated authority level. 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; Communicates claim activity and processing with the claimant and the reputed company; Ensures claim files are properly documented and claims coding is correct. Supports the organization's reputed company program(s). Travels as required. Education & Licensing Bachelor's degree from an accredited college or university preferred. Experience Five (5) years of claims management experience or equivalent combination of education and experience required. Skills & Knowledge 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. PC literate, including reputed company Office products. excellent judgment, troubleshooting, problem solving, analysis, and discretion; Physical Computer keyboarding, travel as required. Auditory/Visual Hearing, reputed company and talking _As required by law, reputed company provides a reasonable reputed company of compensation for roles that may be reputed company in jurisdictions requiring pay transparency in job postings. A comprehensive benefits package is offered including but not limited to, medical, dental, reputed company, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. Always accepting applications. Apply tot his job Apply To this Job