Sr Claim Examiner- WC
Core
Investigate and settle advanced, large loss, complex workers' compensation claims promptly and equitably, utilizing independent judgment to determine liability, compensability, and reserves.
Role type
Senior IC claim examiner (workers' compensation)
Builds
Settled claims and subrogation recoveries for clients/carriers
Domain
Insurance / Workers' Compensation
Required skills
Independent judgment, complex claims investigation, liability determination, reserve setting, litigation strategy, subrogation development, report preparation, policy coverage interpretation
Preferred skills
Industry designations (IIA, AIC, AEI, CPCU), advanced analytical skills, negotiation skills
Technologies
Claims management systems, litigation support tools
Responsibilities
Interpret and make decisions on complex policy coverages; manage investigative activity and direct discovery/litigation strategy with legal counsel; establish reserves and authorize payments within authority limits; develop subrogation and third-party recovery potential; analyze claims activity and prepare reports for clients and management.
Seniority
Senior, hands-on IC