Claims Examiner
Job Opportunity at Independent Insurance Staffing Services

Posted on Jan 10

http://www.iistaffing.com    214-236-3464

Location: Kings Of Prussia, PA
Job Type: Full Time
Job ID: W4149847


Claims Examiner

Four (4) years of claims management experience or equivalent combination of education and experience required.
•             Analyze and manage complex claims by investigating and gathering information to determine the exposure on the claim; manage claims through well-developed action plans to an appropriate and                 timely resolution.
•             Assess liability and resolve claims within evaluation.
•             Negotiate settlement of claims within designated authority.
•             Calculate and assign timely and appropriate reserves to claims; manage reserve adequacy throughout the life of the claim.
•             Calculate and pay benefits due; approve and make timely claim payments and adjustments; and settle clams within designated authority level.
•             Prepares necessary state filings within statutory limits.
•             Manages the litigation process; ensure timely and cost effective claims resolution.
•             Coordinate vendor referrals for additional investigation and/or litigation management.
•             Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.
•             Manages claim recoveries, including be not limited to subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
•             Reports claim to the excess carrier; respond to requests of directions in a professional and timely manner.  
•             Refer cases as appropriate to supervisor and management.

Please send your resume to TLWashington@iistaffing.com
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