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Syracuse

    Claims Examiner - Syracuse, United States - LanceSoft

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    Description
    This is remote role

    Primary Purpose:
    • Analyse complex or technically difficult workers' compensation claims to determine benefits due.
    • Work with high exposure claims involving litigation and rehabilitation.
    • Ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
    • Negotiates settlement of claims within designated authority.
    • Manages claim recoveries, including but not limited to subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
    • Ensures claim files are properly documented and claims coding is correct.
    • Refers cases as appropriate to supervisor and management.
    Experience
    Three (3) years of claims management experience or equivalent combination of education and experience required.

    Education & Licensing
    Bachelor's degree from an accredited college or university preferred. Candidate must have a valid NY Adjuster's License.

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