Claims Examiner - Workers Compensation - Remote / Telecommute

Job TitlePay Range: $43.57hr - $48.57hrRequirement/Must HaveFive (5) years of claims management experience or equivalent combination of education and experience required.High School Diploma or GED required.Bachelor's degree from an accredited college or university preferred.Professional certification as applicable to line of business preferred.ResponsibilitiesAnalyze complex or technically difficult workers' compensation claims to determine benefits due.Work with high exposure claims involving litigation and rehabilitation.Ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements.Identify subrogation of claims and negotiate settlements.Analyze and process claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.Negotiate settlement of claims within designated authority.Communicate claim activity and processing with the claimant and the client.Report claims to the excess carrier and respond to requests of directions in a professional and timely manner.SkillsWorkers' Compensation Claims Adjudication.Litigation Management.Subrogation Negotiation.Claims Investigation.Settlement Negotiation.Qualification And EducationBachelor's degree from an accredited college or university preferred.Professional certification as applicable to line of business preferred.