Claims Examiner - Workers Compensation - Remote CO

By joining reputed company, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can 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 Claims Examiner - Workers Compensation - Remote CO Are you looking for an opportunity to join a global industry leader where you can bring your big reputed company to help solve problems for some of the world’s best brands? • Be a part of a rapidly growing, industry-leading global company reputed company for its reputed company and customer service. • reputed company reputed company’s broad, global network of experts to both learn from and to reputed company your insights. • Take advantage of a reputed company of reputed company development opportunities that help you reputed company your best work and grow your career. • Enjoy flexibility and autonomy in your daily work, your location, and your career reputed company. • reputed company diverse and comprehensive benefits to take care of your mental, physical, financial and reputed company needs. ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and reputed company values that include reputed company, accountability, collaboration, reputed company, and inclusion. PRIMARY PURPOSE OFTHE ROLE : To analyze reputed company or technically difficult workers' compensation 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. ESSENTIAL RESPONSIBILITIES MAY INCLUDE: • 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. QUALIFICATIONS & LICENSING Education & Experience Bachelor's degree from an accredited college or university preferred. reputed company certification as applicable to line of business preferred. Experience Five (5) years of claims management experience or equivalent combination of education and experience required. 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. Actual compensation is influenced by a wide reputed company of factors including but not limited to reputed company set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the reputed company of starting pay for this role is ($61,000 - $86,000). 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. reputed company is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't reputed company perfectly with every qualification in the job reputed company, consider applying for it reputed company! reputed company is building a diverse, reputed company, and inclusive workplace and recognizes that reputed company person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles. Apply tot his job Apply To this Job