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Claims Examiner - Workers Compensation
Job Description
Claims Examiner - Workers Compensation at Comptech Associates Claims Examiner - Workers Compensation at Comptech Associates in Roswell, Georgia Posted in 6 days ago.
Type:
full-time Job title: Claims Examiner -
Workers Compensation Location:
11575 Great Oaks Way, Alpharetta, GA 30022 (40 hours in the office)
Duration:
3+ months (Potential for extension/ Contract to hire) Interview process: In-person Job Hours-8:00 am-5:00 pm Job descriptions:
License Requirements:
Need to be licensed in Georgia to handle Workers' Comp claims. Florida would be the next most important license along with SC and
NC MAJOR DUTIES & RESPONSIBILITIES
- Deliver superior customer service and satisfaction through effective interactions with insureds, claimants, agents, underwriters, and others.
- Contribute to collaborative environment by consistently demonstrating teamwork, high motivation, behavior and effort to achieve goals and objectives.
- Provide accurate and timely expense and loss assessments on Lost Time claims.
- Timely and appropriately communicate with internal and external customers relative to account trends, issues, and claim activity.
- Consistently demonstrate fundamentally sound claim handling by achieving compliance in the areas of investigation, coverage, loss assessment, and case management.
- Ensure the establishment, documentation, and execution of appropriate strategies to bring early resolutions to assigned claims.
- Recognize and properly address coverage issues, potential fraud, and subrogation; follow guidelines and completion of reporting forms.
- Keep all files on a current diary system in order to monitor new developments, follow up on requests, update management and respond to all other diary activities in a timely manner.
- Provide guidance and direction to team members with the ultimate goal of managing and resolving a claim.
- Need to be licensed in Georgia to handle work comp.
Florida would be the next most important license, along with SC and
NC. MINIMUM REQUIREMENTS
- A personal commitment to superior performance that adds value to our company.
- An ability to work effectively with a wide variety of people.
- An aptitude for evaluating, analyzing and interpreting information.
- Excellent organizational skills a must.
- The ability to multi-task along with proven time management and organizational skills.
- An ability to work well in teams.
- Demonstrated critical thinking and decision making ability.
- Excellent verbal and written communication skills.
EDUCATION/EXPERIENCE
o Adjuster's license to handle Workers Compensation claims is required and/or must be obtained immediately after hire date. o Bachelor's Degree or equivalent experience preferred.