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Sr Claim Examiner- WC
Job in
Lake Zurich, Lake County, Illinois, 60047, USA
Listed on 2025-12-31
Listing for:
Tech Providers,
Contract
position Listed on 2025-12-31
Job specializations:
-
Insurance
Insurance Claims, Insurance Analyst
Job Description & How to Apply Below
- Sr Claim Examiner- WC
Location
- Remote
Duration- 04 Months contract (High Possibility to extend)
Note :
Required WC experience for IL and WI, MN, OH, IN ,IA, IL, MO, ND, SD would be plus.
Duties:
- Receives claim assignment, confirms policy coverages, and directs acknowledgement of claims.
- Interprets and makes decisions using independent judgment on moderate difficulty claims and policy coverages and determines if coverages apply to claims submitted.
- Investigates, evaluates, negotiates, and adjudicates first and third-party claims to determine validity and verify extent of damage by telephone contact with clients, claimants, witnesses or other parties as required.
- Analyses 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.
- Make settlement decisions 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.
- Analyses claims activities and prepares reports for clients, carriers, and/or management. Participates in claim reviews.
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