Claims Examiner - New Haven
1 month ago
- Conducts 3-part ongoing investigations
- Evaluates facts gathered through investigation
- Timely administration of statutory medical and indemnity benefits
No information available.
,Responsibilities:,
Handles all aspects of workers compensation lost time claims from set-up to case closure ensuring strong customer relations are maintained throughout the process
Reviews claim policy information to provide background for investigation conducts 3part ongoing investigations obtaining facts taking statements when necessary with insured claimant and medical providers evaluates facts gathered through investigation determine compensability claim informs insureds claimants attorneys denials applicable prepares reports settlement denials evaluation involved parties timely administration statutory medical indemnity benefits life reserving sets reserves within authority limits recommending changes Team Leader life reviews status intervals making recommendations discuss problems remedial actions resolve works attorneys manage hearings litigation
,Qualifications:,
MUST have an insurance background prior experience workers comp examiners paralegal short-term longterm disability auto personal injury protection general liability technical assistant lost time claims knowledge comp statutes regs compliance ability incorporate data analytics modeling expedite fair equitable resolution cases issues healthcare short-term longterm disability auto personal injury protection general liability AIC RMA CPCU coursework designation plus hr
Job description
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