Claims Examiner
Core
Handle Workers Compensation Lost Time claims by assessing expenses and losses, investigating coverage issues, and resolving claims.
Role type
Claims Examiner (Workers Compensation)
Builds
Resolved claims and loss assessments for insureds and claimants
Domain
Insurance / Workers Compensation
Deliverable
client delivery
Required skills
claim handling, loss assessment, coverage analysis, fraud detection, subrogation, case management, investigation, reporting
Preferred skills
Adjuster's license, Bachelor's Degree, critical thinking, multi-tasking, time management
Technologies
diary system
Responsibilities
Provide accurate and timely expense and loss assessments on Lost Time claims; Recognize and properly address coverage issues, potential fraud, and subrogation; Establish and execute strategies to bring early resolutions to assigned claims; Maintain current files and monitor new developments; Provide guidance and direction to team members.