This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Claims Examiner (Remote). In this role, you will analyze complex workers' compensation claims to determine benefits and ensure ongoing adjudication within industry best practices. You will manage high exposure claims, negotiate settlements, and coordinate investigatory efforts, all while maintaining professional relationships with clients and claimants. Your work will have a significant impact on the resolution of claims and the overall satisfaction of clients.
Accountabilities
- Analyze and process complex workers' compensation claims.
- Negotiate settlement of claims within designated authority.
- Manage reserves and claim payments accurately.
- Prepare state filings within statutory limits.
- Coordinate vendor referrals for investigation and litigation management.
- Communicate effectively with claimants and clients.
Requirements
- Bachelor's degree preferred, with relevant certifications.
- Five years of claims management experience required.
- Expertise in insurance principles and law for the line of business.
- Excellent written and verbal communication skills.
- Strong analytical and organizational skills.
- Ability to work well in a team environment.
Benefits
- Flexible work environment.
- Comprehensive benefits package including medical, dental, and vision.
- 401k with matching contributions.
- Paid Time Off (PTO) and additional voluntary benefits.
- Opportunities for career growth in a supportive culture.
Why Apply Through Jobgether?
We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.
We appreciate your interest and wish you the best!
Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.
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