Claims Examiner Workers Compensation
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Job Location:
Alpharetta, GA - USA
Monthly Salary:
Not Disclosed
Posted on:
4 hours ago
Vacancies:
1 Vacancy
Job Summary
MAJOR DUTIES & RESPONSIBILITIES:
Deliver superior customer service and satisfaction through effective interactions with insureds claimants agents underwriters and others.
Contribute to collaborative environment by consistently demonstrating teamwork high motivation behavior and effort to achieve goals and objectives.
Provide accurate and timely expense and loss assessments on Lost Time claims.
Timely and appropriately communicate with internal and external customers relative to account trends issues and claim activity.
Consistently demonstrate fundamentally sound claim handling by achieving compliance in the areas of investigation coverage loss assessment and case management.
Ensure the establishment documentation and execution of appropriate strategies to bring early resolutions to assigned claims.
Recognize and properly address coverage issues potential fraud and subrogation; follow guidelines and completion of reporting forms.
Keep all files on a current diary system in order to monitor new developments follow up on requests update management and respond to all other diary activities in a timely manner.
Provide guidance and direction to team members with the ultimate goal of managing and resolving a claim.
**Need to be licensed in Georgia to handle work comp. Florida would be the next most important license along with SC and NC.
MINIMUM REQUIREMENTS:
A personal commitment to superior performance that adds value to our company.
An ability to work effectively with a wide variety of people.
An aptitude for evaluating analyzing and interpreting information.
Excellent organizational skills a must.
The ability to multi-task along with proven time management and organizational skills.
An ability to work well in teams.
Demonstrated critical thinking and decision making ability.
Excellent verbal and written communication skills.
EDUCATION/EXPERIENCE:
o Adjusters license to handle Workers Compensation claims is required and/or must be obtained immediately after hire date.
o Bachelors Degree or equivalent experience preferred.
o Minimum of 3 years of Workers Compensation claim handling required.
o Adjusters license to handle Workers Compensation claims is required and/or must be obtained immediately after hire date.
o Bachelors Degree or equivalent experience preferred.
o Minimum of 3 years of Workers Compensation claim handling required.
Deliver superior customer service and satisfaction through effective interactions with insureds claimants agents underwriters and others.
Contribute to collaborative environment by consistently demonstrating teamwork high motivation behavior and effort to achieve goals and objectives.
Provide accurate and timely expense and loss assessments on Lost Time claims.
Timely and appropriately communicate with internal and external customers relative to account trends issues and claim activity.
Consistently demonstrate fundamentally sound claim handling by achieving compliance in the areas of investigation coverage loss assessment and case management.
Ensure the establishment documentation and execution of appropriate strategies to bring early resolutions to assigned claims.
Recognize and properly address coverage issues potential fraud and subrogation; follow guidelines and completion of reporting forms.
Keep all files on a current diary system in order to monitor new developments follow up on requests update management and respond to all other diary activities in a timely manner.
Provide guidance and direction to team members with the ultimate goal of managing and resolving a claim.
**Need to be licensed in Georgia to handle work comp. Florida would be the next most important license along with SC and NC.
MINIMUM REQUIREMENTS:
A personal commitment to superior performance that adds value to our company.
An ability to work effectively with a wide variety of people.
An aptitude for evaluating analyzing and interpreting information.
Excellent organizational skills a must.
The ability to multi-task along with proven time management and organizational skills.
An ability to work well in teams.
Demonstrated critical thinking and decision making ability.
Excellent verbal and written communication skills.
EDUCATION/EXPERIENCE:
o Adjusters license to handle Workers Compensation claims is required and/or must be obtained immediately after hire date.
o Bachelors Degree or equivalent experience preferred.
o Minimum of 3 years of Workers Compensation claim handling required.
o Adjusters license to handle Workers Compensation claims is required and/or must be obtained immediately after hire date.
o Bachelors Degree or equivalent experience preferred.
o Minimum of 3 years of Workers Compensation claim handling required.
