Claims Examiner

•  Deliver superior customer service and satisfaction through effective interactions with insureds, claimants, agents, underwriters, and others.

• Contribute to collaborative environment by consistently demonstrating teamwork, high motivation, behavior and effort to achieve goals and objectives.

• Provide accurate and timely expense and loss assessments on Lost Time claims.

• Timely and appropriately communicate with internal and external customers relative to account trends, issues, and claim activity.

• Consistently demonstrate fundamentally sound claim handling by achieving compliance in the areas of investigation, coverage, loss assessment, and case management.

• Ensure the establishment, documentation, and execution of appropriate strategies to bring early resolutions to assigned claims.

• Recognize and properly address coverage issues, potential fraud, and subrogation; follow guidelines and completion of reporting forms.

• Keep all files on a current diary system in order to monitor new developments, follow up on requests, update management and respond to all other diary activities in a timely manner.

• Provide guidance and direction to team members with the ultimate goal of managing and resolving a claim.

• A personal commitment to superior performance that adds value to our company.

• An ability to work effectively with a wide variety of people.

• An aptitude for evaluating, analyzing and interpreting information.

• Excellent organizational skills a must.

• The ability to multi-task along with proven time management and organizational skills.

• An ability to work well in teams.

• Demonstrated critical thinking and decision making ability.

• Excellent verbal and written communication skills.

   

EDUCATION/EXPERIENCE:

• Adjuster's license to handle Workers Compensation claims is required and/or must be obtained immediately after hire date.

• Bachelor's Degree or equivalent experience preferred.

• Minimum of 3 years of Workers Compensation claim handling required.