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SKILL SETS WE LOOK FOR
We believe our employees are the best in the
business. We
treat our employees fairly and we provide a competitive benefit
package.
We are the industry leader in staffing insurance professionals. We have
exceptional placement opportunities for the following positions:
1. Workers' Compensation -
Senior Claims
Examiner
Manages load of workers' compensation claims for assigned
client(s).
Primary contact between the client, Injured Worker and all
Providers.
Reviews set-up on new claims. Confirms M.O./Indemnity decision,
and
reasonability of initial reserves. Updates reserves, DWC's rehab
forms,
runs abstracts. Maintains written documentation of claim
status.
Maintains control over indemnity claims requiring vocational
rehabilitation
consideration. Pays awards, after calculating amount
remaining to be
paid. Reports to Excess Reinsurance carrier. Other duties
as
assigned.
2. Senior Claims Adjuster -
Automobile and
General Liability
Determines liability and coverage. Sets and maintains adequate
reserves
and appropriate reinsurance. Conducts investigation, compares
data on
claim application, death certificate, and/or physician statement with
policy
files and other company records to ascertain completeness and validity
of
claim. Contacts doctors, lawyers, and others to resolve coverage
questions. Determines extent of coverage. Corresponds with
agents
and claimants or interviews them in person. Manages legal aspects
through
timely assignment of litigated cases to defense counsel, and on-going
evaluation
of legal process and expenses. Pays claims amount due according
to
settlement agreement and company procedures.
3. Workers' Compensation
Claims Assistant
Requests medical records. Contacts physicians to
request medical
status. Schedules Independent Medical Exams (IME) and Agreed
Medical Exams
(AME). Sends benefit notices to Injured Worker. Files and
serves
documents to the Workers' Compensation Appeals Board and to legal
representatives. Processes rehabilitation disclosures. Pays medical and
expense
bills. Processes objection letters. Requires a general
working
knowledge of Workers' Compensation procedures.
_________________________
If you are interested in any of these positions
go to our
application page. Click here.
