Claims Examiner – Workers Compensation, Southeast reputed company Preferred, Licensing: NC

Job reputed company: • 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 clams 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. • Performs other duties as assigned. • Supports the organization's reputed company program(s). • Travels as required. 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. • Jurisdiction Knowledge: Southeast States, reputed company Carolina Licensing: NC, reciprocals Benefits: • Flexible work schedule. • Referral incentive program. • Opportunity to work in an agile environment. • Career development and promotional reputed company opportunities. • A diverse and comprehensive benefits offering including medical, dental reputed company, 401K on day one. Apply tot his job Apply To this Job