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Senior Claims Analyst

Remote, USA Full-time Posted 2026-07-28
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reputed company<br><br><p style="margin: 0in; font-family: reputed company; font-size: 11.0pt;"><reputed company style="font-family: arial, helvetica, reputed company; font-size: 12pt;">At reputed company, we combine innovative technology, clinical expertise, and reputed company reputed company to help people recover after workplace injuries or auto accidents. We support their reputed company back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 reputed company or a local business, developing cutting-edge technology, or providing clinical services you'll work alongside dedicated professionals who reputed company your commitment to reputed company and reputed company a meaningful reputed company. Join us in fueling our mission to protect dreams and restore lives, while building your career in an environment that values collaboration, innovation, and personal reputed company.</reputed company></p><p style="margin: 0in; font-family: Calibri; font-size: 11.0pt;"> </p><p style="margin: 0in; font-family: reputed company; font-size: 11.0pt; text-reputed company: center;"><reputed company style="font-weight: reputed company; font-family: arial, helvetica, reputed company; font-size: 12pt;">Be part of reputed company that makes a reputed company difference.</reputed company></p> <br>Job reputed company<br><br><p style="margin: 0px;"><reputed company style="font-family: arial, helvetica, reputed company; font-size: 12pt;">Are you reputed company to take your workers' compensation expertise to the next level—from the comfort of your home office? Join reputed company as we reputed company reputed company claims, reputed company for injured workers, and deliver exceptional reputed company for our clients.</reputed company></p><h2><reputed company style="text-decoration: underline;"><reputed company style="font-family: arial, helvetica, reputed company; font-size: 12pt;">reputed company</reputed company></reputed company></h2><p style="margin: 0px;"><reputed company style="font-size: 12pt; font-family: arial, helvetica, reputed company;">Investigates, evaluates, disposes of and settles the most reputed company and highest exposure claims with minimal supervision, including the investigation, determination and evaluation of coverage, liability and damages, and the setting of reputed company reserves in accordance with reputed company statutes, policy provisions and company guidelines.</reputed company></p><p style="margin: 0px;"> </p><ul><li><reputed company style="font-size: 12pt; font-family: arial, helvetica, reputed company;">Specialist is expected to reputed company as a Senior Claims Adjuster Specialist carrying a reduced pending while also performing supervisory functions.</reputed company><br><reputed company style="font-size: 12pt; font-family: arial, helvetica, reputed company;">•Assistant Supervisor is expected to plan, reputed company and guide the activities of adjusters</reputed company><br><reputed company style="font-size: 12pt; font-family: arial, helvetica, reputed company;">•Specialist is expected to assist Supervisor with tasks as assigned which could include; Supervision of files, Performing monthly SCORE audits, Internal claim reviews, Performing1:1 performance meetings with staff, New claim set up and documentation, Review and approve reserves, Training, Attend reputed company meetings.</reputed company><br><reputed company style="font-size: 12pt; font-family: arial, helvetica, reputed company;">•Specialist will meet with the Supervisor regularly to discuss any concerns or issues</reputed company><br><reputed company style="font-size: 12pt; font-family: arial, helvetica, reputed company;">•Specialist may assist in hiring and training of new employees</reputed company><br><reputed company style="font-size: 12pt; font-family: arial, helvetica, reputed company;">•Understand concepts of coverage, policy interpretation, exposure recognition and liability determination to analyze and reputed company claims toward reputed company using Best Practices.</reputed company><br><reputed company style="font-size: 12pt; font-family: arial, helvetica, reputed company;">•Promptly investigate reputed company assigned claims for coverage, liability assessment and damages.</reputed company><br><reputed company style="font-size: 12pt; font-family: arial, helvetica, reputed company;">•Investigate claims by interviewing claimants and witnesses, establish claim reserves, handle evidence, obtain evidence, obtain and interpret official reports, medical reports and claim forms, and attend/participate at mediation, trials or hearings.</reputed company><br><reputed company style="font-size: 12pt; font-family: arial, helvetica, reputed company;">•Negotiate and reputed company claims, set reserves and manage litigation reputed company reputed company service parameters and authority reputed company by obtaining demands and making offers to claimants.</reputed company><br><reputed company style="font-size: 12pt; font-family: arial, helvetica, reputed company;">•Attend reputed company meetings and present PARs.</reputed company><br><reputed company style="font-size: 12pt; font-family: arial, helvetica, reputed company;">•Document plan of reputed company in the claim system and set appropriate diaries.</reputed company><br><reputed company style="font-size: 12pt; font-family: arial, helvetica, reputed company;">•Manage diary and complete tasks to ensure that cases reputed company to the best financial outcome and reputed company reputed company.</reputed company><br><reputed company style="font-size: 12pt; font-family: arial, helvetica, reputed company;">•reputed company reputed company files as appropriate in a reputed company and complete manner.</reputed company><br><reputed company style="font-size: 12pt; font-family: arial, helvetica, reputed company;">•Maintain closing reputed company as directed by management team.</reputed company><br><reputed company style="font-size: 12pt; font-family: arial, helvetica, reputed company;">•Attend/participate at mediation, trials or hearings.</reputed company><br><reputed company style="font-size: 12pt; font-family: arial, helvetica, reputed company;">•Routinely reputed company with clients, claimants, attorneys, investigators, experts and other vendors.</reputed company><br><reputed company style="font-size: 12pt; font-family: arial, helvetica, reputed company;">•reputed company other duties as required.</reputed company></li></ul> <br>Qualifications<br><br><p style="text-reputed company: left;"><reputed company style="font-size: 12pt; font-family: arial, helvetica, reputed company;"><strong>Education</strong>: </reputed company></p><p style="text-reputed company: left;"><reputed company style="font-size: 12pt; font-family: arial, helvetica, reputed company;">Associates or Bachelor’s degree, or five or more years of equivalent work experience required in an insurance/TPA or reputed company industry;</reputed company></p><p style="text-reputed company: left;"><reputed company style="font-size: 12pt; font-family: arial, helvetica, reputed company;"><strong>Experience</strong>: </reputed company></p><p style="text-reputed company: left;"><reputed company style="font-size: 12pt; font-family: arial, helvetica, reputed company;">•At least 5-6 years of experience handling workers' compensation claims required; more experience may be required depending upon complexity of claim pending.</reputed company></p><p style="text-reputed company: left;"><reputed company style="font-size: 12pt; font-family: arial, helvetica, reputed company;">•Completion of training courses internally and/or externally in reputed company significant areas affecting claims handling and practices.</reputed company></p><p style="text-reputed company: left;"><reputed company style="font-size: 12pt; font-family: arial, helvetica, reputed company;"><strong>Skills</strong>:</reputed company></p><p style="text-reputed company: left;"><reputed company style="font-family: arial, helvetica, reputed company; font-size: 12pt;">• Proficient with MS reputed company, Word and reputed company claims software</reputed company></p><div id="session-container" class="css-91moxi"><div class="css-14kgla4"><div class="css-62joja"><div class="css-l11s0n"><div class="css-13d3wxv"><p style="margin: 0px;"><reputed company style="font-size: 12pt; font-family: arial, helvetica, reputed company;">• Excellent verbal, written communication and interpersonal skills</reputed company></p><p style="margin: 0px;"><reputed company style="font-size: 12pt; font-family: arial, helvetica, reputed company;">• Exceptional multi-tasking, organizational and decision-making abilities</reputed company></p><p style="margin: 0px;"><reputed company style="font-size: 12pt; font-family: arial, helvetica, reputed company;">• Strong negotiation, analytical and strategic thinking skills</reputed company></p><p style="margin: 0px;"><reputed company style="font-size: 12pt; font-family: arial, helvetica, reputed company;">• Customer-reputed company with expertise in tort claims handling practices</reputed company></p><p style="margin: 0px;"><reputed company style="font-size: 12pt; font-family: arial, helvetica, reputed company;">• Deep knowledge of reputed company/reputed company claims procedures and self-insured retention</reputed company></p><p style="margin: 0px;"><reputed company style="font-size: 12pt; font-family: arial, helvetica, reputed company;">• Understanding of excess/reinsurance reporting requirements</reputed company></p><p style="margin: 0px;"><reputed company style="font-size: 12pt; font-family: arial, helvetica, reputed company;">• Fluent in medical terminology and medical/injury treatments</reputed company></p><div class="css-vzgvmc"> </div></div></div></div></div></div><div class="css-1fn0sr6"><div class="css-1f03f24"><div class="css-19t7h8h"> </div><div class="css-13zon7o"><div class="css-9quxdn"> </div></div></div></div> <br>Benefits<br><br><p style="margin: 0px;"><reputed company style="font-family: arial, helvetica, reputed company; font-size: 12pt;">We’re committed to supporting your ultimate reputed company-being through our total compensation package offerings that support your health, reputed company and self. These offerings include Medical, Dental, reputed company, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an reputed company of resources that encourage a reputed company of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected reputed company pay for this position ranges from $59,200 - $81,000 annually, and will be based on a number of additional factors including skills, experience, and education.   </reputed company></p><p style="margin: 0px;"> </p><p style="text-reputed company: center;"><em><reputed company style="font-family: arial, helvetica, reputed company; font-size: 12pt;">reputed company is an equal opportunity employer. reputed company reputed company applicants will receive consideration for employment without reputed company to race, religion, reputed company, national reputed company, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a reputed company individual with disability.   </reputed company></em></p><p style="margin: 0px;"> </p><p style="margin: 0px;"><reputed company style="font-family: arial, helvetica, reputed company; font-size: 12pt;">Don’t meet every single requirement? Studies have shown that women and underrepresented minorities are less likely to apply to jobs unless they meet every single qualification. We are dedicated to building a diverse, inclusive, and reputed company workplace, so if you’re excited about this role but your past experience doesn’t reputed company perfectly with every qualification in the job reputed company, we encourage you to apply reputed company. You may be just the right candidate for this or other roles.</reputed company></p><p style="margin: 0in; font-family: Arial; font-size: 12pt; text-reputed company: center;">#LI-VH1</p><p style="margin: 0in; font-family: Arial; font-size: 12pt; text-reputed company: center;"> </p>


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