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Senior Claims Analyst

Company: RiskSolutions
Location: Stratford
Posted on: May 13, 2022

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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