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Senior Workers Compensation Claims Examiner
| Details |
Country: USA
Location: CA San Jose
Total applied: 42
Relevant Work Experience: 5+ to 7 Years
Career Level: Experienced (Non-Manager)
Education Level: High School or equivalent
Job Type: Employee
Job Status: Full Time
Job Shift: First Shift (Day)
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Senior Workers Compensation Claims Examiner
Keenan & Associates is a successful insurance brokerage and consulting firm meeting the insurance needs of hospitals, public entities and California school districts. Keenan specializes in providing consulting services for employee benefits, workers' compensation, loss control services, Keenan Financial Services, and property & liability to school districts and hospitals throughout California. We have seen continuous progress and expansion, making us the 17th largest consulting firm in the United States. This growth positions us to continue to lead the industry into the 21st century.
We currently have an exciting, career opportunity for a Senior Claims Examiner, located in our San Jose office. The Senior Claims Examiner will be responsible for administration and management of indemnity claims.
The successful candidate will be tasked with handling complex legal issues, litigation prevention and control, negotiation of settlements, lien resolutions and cost containment.
Description of duties & responsibilities:Identify, prevent and mitigate potential penaltiesReport excess files to the Reinsurance Manager in a timely mannerReport SIU/Fraud and identify and pursue subrogationUpdate reserves upon review of file and accept delayed claims within 90 daysRequest settlement authorization/notification Prepare legal referrals, provide direction to and monitor defense attorneyMaintain client/claimant satisfactionOversee new set-ups, reserves and instruction sheetsNegotiate outstanding liensMake 3-point contact on delay and/or complicated casesOther duties assigned
Essential Skills and Knowledge:
Candidates must have five years of claims examiner experience and a Self-Insurance Certificate, or the ability to pass Self-Insurance Test. WCCP a plus. Effective in oral and written communication. Will have to work with all levels of Client, Vendor, and Keenan employees.
High school degree or equivalent work experience.
Special Skills Required:
? IEA Basic class requiredSoftware: Microsoft Outlook, Word and ExcelReasoning Ability: Ability to solve practical problems and to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Keenan provides a competitive compensation package. We encourage teamwork and employee initiative - people working together is what makes Keenan a success. We invite you to share in the commitment of preserving our warm tradition, reputation and dedication to our clients. After all?What you do makes a difference!
Please submit your resume and salary history to bcross@keenan.com For more information, visit our website at www.keenan.com
Keenan is an Equal Opportunity/Affirmative Action Employer and supports Workplace Diversity.
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