Sr Examiner
Sr Examiner
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Company Details
Midwest Employers Casualty (MEC) is a member of the W. R. Berkley Corporation a fortune 500 company rated A (Superior) by A.M. Best Company based in Chesterfield MO. We improve the quality of life for employees severely injured on the job and help companies understand and mitigate their risk for workers compensation injuries. MEC has a friendly resultsfocused work environment. We seek employees who take initiative are quick to adapt are dependable and like working as part of a team.
Company URL: company is an equal opportunity employer.
Responsibilities
The ideal Senior Examiner embodies a growth mindset demonstrating a strong passion for customer service and the continuous improvement of claims processes to achieve optimal outcomes. This role seeks a patient and conscientious individual who excels both independently and within a team contributing effectively to the daily functions of the Claims department. It is important for the ideal candidate to proactively apply creative problemsolving techniques and develop strategic solutions that enhance efficiency and effectiveness. Success in this position is driven by a keen attention to detail an adaptable approach to reprioritizing tasks and a commitment to constantly evolving within a dynamic taskoriented environment.
Key functions include but are not limited to:
- Examines assigned claims by evaluating and keeping current TPA reserves on file establishing and updating MECC reserves within authority level and pushing settlement opportunities
- Reviews and Authorizes reimbursement payments.
- Identifies claims that require escalation to management or additional resources.
- Completes and presents Large Loss reports to management when required.
- As a backup Triages complex claim exposures by comprehensively documenting accident and claim history verifying compensability evaluating for interventional and settlement opportunities assigning claims to team and escalating when necessary.
- Helps with extra tasks outside of the regular workload.
- Comfortable challenging conventional approaches and exploring new ideas to drive success.
- Uses datadriven insights to meet and/or exceeds the given monthly goals and best practice standards.
- Mentors and trains new or junior team members.
Qualifications
- Bachelors degree preferred.
- 3 years of workers compensation claim handling experience preferred.
- Knowledge of workers compensation insurance legal and medical terminology preferred.
- Experience working with Third Party Administrators brokers and insureds.
- Basic experience in Word and Excel a plus.
- Experience evaluating detailed check (payment) registers and common WC claim documents.
- Selfmotivated informed decision making with the drive to get things done.
- Collaborative open to others views and supportive of decisions made.
- Ownership must anticipate identify solutions and effectively manage a given process.
- Influence effectively communicate direction and demonstrate credibility.
- Ability to think creatively and develop innovative solutions to complex challenges.
Additional Company Details
The actual salary for this position will be determined by a number of factors including the scope complexity and location of the role; the skills education training credentials and experience of the candidate; and other conditions of employment.
Sponsorship Details
Required Experience:
Senior IC
Employment Type
Unclear
