Claim Examiner- Wc

Title: Claim Examiner- WC
Location: Lake Zurich, IL (Remote)
Duration: 4 Months contract
 
Receives claim assignment, confirms policy coverages, and directs acknowledgement of claims.
- Interprets and makes decisions using independent judgment on moderate difficulty claims and policy coverages and determines if coverages apply to claims submitted.
- Investigates, evaluates, negotiates, and adjudicates first and third-party claims to determine validity and verify extent of damage by telephone contact with clients, claimants, witnesses, or other parties as required.
- Analyzes claims activity and prepares reports for clients/carriers and management.
- Establish reserves, using independent judgment and expertise and authorize payments within scope of authority, settling claims in the most cost-effective manner and ensuring timely issuance of disbursements.
- Make settlement decisions promptly and equitably and issues company drafts in payments for claims within authority limits.
- Develops subrogation and third-party recovery potential and follows reclaim procedures. - Analyzes claims activities and prepares reports for clients, carriers and/or management. Participates in claim reviews.
 
Ability to work independently while assimilating various technical subjects.
- Good verbal or written communication skills.
 - Demonstrated ability to gather and analyze information, determine a course of action, and implement the selected course of action.
- Strong ability to identify, analyze and solve problems.
- Effective interpersonal skills to be capable of dealing with external sources and all levels of employees.