Claims Examiner – Workers Compensation I

• Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity and processing with the claimant and the client.
• Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

• 5 years of claims management experience or equivalent combination of education and experience required.
• High School Diploma or GED required.
• Bachelor's degree from an accredited college or university preferred.
• Professional certification as applicable to line of business preferred.

Demonstrates expertise in claims management, including analyzing and processing claims, negotiating settlements, and effective communication with claimants and clients. Proficient in reporting and responding to claims-related inquiries in a timely and professional manner.

• Claims Management Experience
• Negotiation Skills
• Communication Skills
• Professional Certification
• Action Plan Development

• Claims Analysis
• Claims Processing
• Settlement Negotiation
• Information Gathering
• Exposure Determination

• Professional Communication
• Timeliness

• Professional Certification

• Claims Management
• Excess Carrier Reporting
• Claim Activity Communication