Sr Claim Examiner- WC

VOLT • Brea, CA

7d • Onsite

About The Position

Volt is immediately hiring for Sr. Claim Examiner in Brea, CA 92821 United States. As a Sr. Claim Examiner, you will interpret and make decisions using independent judgment on more complex and unusual policy coverages and determine if coverages apply to claims submitted. You will manage all aspects of investigative activity on complex claims, direct the discovery and litigation strategy with legal counsel, and analyze claims activity and prepare reports for clients/carriers and management. You will establish reserves, using independent judgment and expertise and authorize payments within scope of authority, settling claims in the most cost-effective manner and ensuring timely issuance of disbursements. You will settle claims promptly and equitably and issue company drafts in payments for claims within authority limits. You will develop subrogation and third-party recovery potential and follow reclaim procedures. You will also participate in claim reviews.

Requirements

• Bachelor's degree or equivalent experience
• Technical claims investigations/settling experience with 4-8 years experience in Claims or similar organization.
• Workers Compensation (WC) Adjuster License required according to jurisdictional requirements.

Nice To Haves

• Industry designations such as IIA, AIC, AEI, and/or CPCU

Responsibilities

• Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.
• Manages all aspects of investigative activity on complex claims.
• Directs the discovery and litigation strategy with legal counsel.
• Analyzes claims activity and prepares reports for clients/carriers and management.
• Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost-effective manner and ensuring timely issuance of disbursements.
• Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits.
• Develops subrogation and third-party recovery potential and follows reclaim procedures.
• Analyzes claims activities and prepares reports for clients, carriers, and/or management.
• Participates in claim reviews.

Benefits

• health
• dental
• vision
• term life
• short term disability
• AD&D
• 401(k)
• Sick time
• other types of paid leaves (as required by law)
• Employee Assistance Program (EAP)

What This Job Offers

• Job Type: Full-time
• Career Level: Senior