Claims Specialist

• 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.

Workers Compensation Claims Examiner – MD, VA, DC Jurisdictional Experience

• To process low level workers compensation claims to determine benefits due.
• Ensure ongoing adjudication of claims within company standards and industry best practices.
• Identify subrogation of claims and negotiate settlements with general supervision.
• Processes low level workers compensation claims determining compensability and benefits due on long term indemnity claims.
• Approves and processes assigned claims, determines benefits due and administers action plan pursuant to the claim or client contract.

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Workers Compensation Claims Examiner – MD, VA, DC Jurisdictional Experience

Workers Compensation Claims Representative