Sr Claim Examiner-WC (CA)
Core
Investigate, evaluate, and resolve advanced, large-loss, and complex workers compensation claims with a high degree of autonomy.
Role type
Senior Claims Examiner (Workers Compensation)
Builds
Claim settlements and reserve management for insurance carriers and clients
Domain
Insurance / Workers Compensation
Required skills
Independent judgment, claims investigation, liability determination, reserve management, claim settlement negotiation, subrogation recovery, policy coverage interpretation, litigation strategy direction, report preparation
Preferred skills
IIA, AIC, AEI, CPCU designations, Workers Compensation Adjuster License
Technologies
None stated
Responsibilities
Interpret complex policy coverages and determine applicability to claims; manage investigative activity and direct discovery/litigation strategy with counsel; establish reserves and authorize payments within authority; settle claims promptly and equitably; develop subrogation and third-party recovery potential; analyze claims activity and prepare reports for clients/carriers/management
Seniority
Senior, hands-on IC