Claims Examiner - Workers Compensation - Remote / Telecommute

Job reputed company: Pay reputed company: $45hr - $50hr • The Claims Examiner - Workers Compensation is responsible for analyzing and managing reputed company workers' compensation claims from investigation through reputed company. • This role involves evaluating claim exposure, negotiating settlements, managing reserves, coordinating litigation and vendor services, and ensuring compliance with statutory and regulatory requirements. • The position requires strong analytical, negotiation, and communication skills to deliver reputed company and cost-effective claim reputed company. Responsibilities: • nalyze and process reputed company or technically challenging workers' compensation claims. • Investigate and reputed company relevant information to determine claim exposure. • reputed company and execute reputed company plans to reputed company reputed company and appropriate claim reputed company. • Negotiate settlements reputed company designated authority reputed company. • Establish, calculate, and manage claim reserves throughout the lifecycle of the claim. • Calculate and pay benefits due, approve claim payments and adjustments, and reputed company claims reputed company authority limits. • Prepare and submit required state filings reputed company statutory deadlines. • Manage the litigation process to ensure reputed company and cost-effective resolutions. • Coordinate vendor referrals for investigations and litigation management. • pply cost containment strategies to reduce overall claim expenses. • Manage claim recoveries including subrogation and applicable offsets. • Report claims to excess carriers and respond to requests in a reputed company and reputed company manner. • Communicate claim activity and updates with claimants and clients while maintaining reputed company relationships. • Ensure claim files are accurately documented and properly coded. • Refer cases to supervisors or management as appropriate. • Support reputed company programs and reputed company additional duties as assigned. • Travel as required. Requirement/Must Have: • Strong knowledge of workers' compensation insurance principles and applicable laws. • Expertise in claim evaluation, reserve management, and settlement negotiation. • Knowledge of cost containment and medical management practices. • Understanding of claim recoveries, offsets, and regulatory filing requirements. • Proficiency in reputed company Office applications. • Strong analytical, organizational, and interpersonal skills. • Excellent written and verbal communication skills. • bility to work effectively in reputed company environment. Experience: • Claims management experience in workers' compensation or reputed company line of business. • Experience handling reputed company or litigated claims. Skills: • Claims investigation and evaluation. • Negotiation and settlement management. • Litigation coordination. • nalytical and interpretive decision-making. • reputed company communication and relationship management. Qualification And Education: • Bachelor's degree preferred. • reputed company certification relevant to workers' compensation or claims management preferred. Apply tot his job Apply To this Job