Complex Claims Examiner- Federal Workers Compensation
Core
Director/Examiner handling complex federal workers compensation claims, specifically Defense Base Act, with authority up to $500,000.
Role type
Senior IC claims director/examiner
Builds
Cost-effective claim settlements and fraud detection for federal workers
Domain
Insurance / Federal Workers Compensation / Defense Base Act
Deliverable
client delivery
Required skills
Defense Base Act claims expertise, settlement evaluation, negotiation, policy language interpretation, fraud investigation, litigation knowledge, reserve management
Preferred skills
Lateral thinking, product improvement collaboration
Technologies
None stated
Responsibilities
Investigate and handle Defense Base Act claims; negotiate settlements; identify and review fraudulent claims; mentor claim representatives; interpret policy language; liaise with internal stakeholders, brokers, experts, and legal representatives
Seniority
Senior, hands-on IC with mentorship duties