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SalaryIn the Claims Specialist II role you will provide quality investigation and analysis to adjust Worker's Compensation claims to proper conclusion.
Duties and Job Responsibilities-
This role can be remote to any US city
Generally works independently, handling the most complex matters, and has settlement and draft authority of up to designated amount based on experience.
Conducts complete investigation of losses through any appropriate techniques including interviews, recorded statements, documentation/data gathering and securing/preserving evidence.
Evaluates liability and damages; identifies subrogation/salvage opportunities or suspicious claims.
Prepares timely, concise reports as required.
Promptly establishes and maintains accurate reserves.
Verifies, analyzes and correctly applies coverage.
Develops strategy and negotiates claims to a timely conclusion, properly applying company and department policies and procedures.
Decides on conclusion of loss (e.g. pay, deny compromise) based upon analysis of the facts, liability, and statutory/case law.
Determines need for and provides direction to defense counsel, independent adjusters or other technical experts, and monitors and controls their costs.
Attends hearings, pre-trial settlement, conferences, trials, etc., as required.
Keeps agents, insurers, Agency OPS and Corporate Claims advised of file status and other matters as required.
Frequently involved in meetings or visits to agents, insurers, prospects, clients etc. and in Large Account matters.
Reports To: Claims Supervisor/Manager
Knowledge and Skills:
Good understanding of MS Excel, Access, Word and internet.
Ability to travel.
Self-motivated and flexible with ability to work independently.
Successful candidates must demonstrate proficiency in interviewing, problem solving, communication, and time management and conflict resolution skills.
WHY JOIN US?
- 15th Largest Broker in US
- Voted " Best Place to Work" in the Insurance Industry
- Awesome Benefits: 401K matching, Generous Time Off Policy, Flexible Work Options, Medical, Dental, Vision, Pet Insurance, Cancer Insurance, Wellness Programs, Employee Award Programs (Trips!).
EPIC embraces diversity in all its various forms—whether it be diversity of thought, background, race, religion, gender, skills or experience. We are committed to fostering a work community where every colleague feels welcomed, valued, respected and heard. It is our belief that diversity drives innovation and that creating an environment where every employee feels included and empowered, helps us to deliver the best outcome to our clients.
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