Senior Claims Analyst
Company: RiskSolutions
Location: Stratford
Posted on: May 13, 2022
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Job Description:
PRIMARY PURPOSE To analyze low to complex 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 within
service expectations, industry best practices and specific client
service requirements; and to identify subrogation of claims and
negotiate settlements. QUALIFICATION Education & Licensing
Bachelor's degree from an accredited college or university.
Professional certification as applicable to line of business
preferred. Candidate will need to be Licensed as an Individual
Adjuster. Bilingual preferred and will be rewarded in salary and
bonuses. EXPERIENCE Two (2) years of claims management experience.
Will review the total resume for any equivalent combination of
education and experience. 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 Social Security and Medicare application procedures
as applicable to line-of-business. Excellent oral and written
communication, including presentation skills PC literate, including
Microsoft Office products Database usage is required for all
documentation and documents obtained Analytical and interpretive
skills Strong organizational skills Good interpersonal skills
Excellent negotiation skills Ability to work in a team environment
Ability to meet or exceed claims control and plan of action to
provide our clients with the best practices outcomes
Multijurisdictional experience is a plus. Job Type: Full-time Pay:
Salary history is required with resume Benefits: Dental insurance
Health insurance Paid time off Professional development assistance
Referral program Tuition reimbursement Vision insurance Schedule: 8
hour shift Monday to Friday Education: Bachelor's Experience:
Workers' Compensation Adjusting: 2 years (Required)
License/Certification: California Independent Adjuster License
(Required) Remote work from home with company supplied
equipment
Keywords: RiskSolutions, Visalia , Senior Claims Analyst, Professions , Stratford, California
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