Sr Claim Examiner- WC
Job in
Glendale, Maricopa County, Arizona, 85318, USA
Listed on 2026-09-25
Listing for:
Hornet Staffing, Inc, a GEE Group company
Full Time
position Listed on 2026-09-25
Job specializations:
-
Insurance
Insurance Claims, Insurance Analyst, Risk Manager/Analyst, Underwriter
Job Description & How to Apply Below
- Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.
- Manages all aspects of investigative activity on complex claims.
- Directs the discovery and litigation strategy with legal counsel.
- Analyzes claims activity and prepares reports for clients/carriers and management.
- Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost effective manner and ensuring timely issuance of disbursements.
- Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits.
- Develops subrogation and third party recovery potential and follows reclaim procedures.
- Analyzes claims activities and prepares reports for clients, carriers and/or management. Participates in claim reviews.
- Ability to work independently while assimilating various technical subjects.
- Strong written and oral communication, negotiation and presentation skills.
- Advanced analytical and problem solving skills, with the ability to manage and prioritize multiple projects.
- Bachelor's degree or equivalent experience.
- Technical claims investigations/settling experience with 4-8 years experience in Claims or similar organization.
- Workers Compensation (WC) Adjuster License required according to jurisdictional requirements.
- Industry designations such as IIA, AIC, AEI and/or CPCU
Note:
Claims bachelor's degree or equivalent experience.
- Technical claims investigations/settling experience with 4-8 years' experience in Claims or similar organization. Workers Compensation (WC) Adjuster License required according to jurisdictional requirements. Preferred:
- Industry designations such as IIA, AIC, AEI and/or CPCU
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