Denison , TX , United States Workers
Review settled insurance claims to determine that payments and settlements have been made in accordance with company practices and procedures. Report overpayments, underpayments, and other irregularities. The Workers Compensation Examiner confer with legal counsel on claims requiring litigation.
• Must have recent workers’ compensation claims handling experience to qualify • Will working under limited supervision, review Workers’ Compensation Insurance Claims and policy information to provide background for investigation. • Contact, interview and obtain statements (recorded or in person) from the insured, claimants, witnesses, physicians, attorneys, police officers, etc., to secure necessary claim information. • Evaluate information gained via investigation to determine level of compensation and financial exposure of the account, and/or company obligation to the insured based on the policy and contracts. • Will prepare reports on investigation, settlements, denial of claims, individual evaluation of involved parties, etc.
The Workers Compensation Claims Examiner, must have experience with self insured insurance claims and 5-10 years of experience. Need to be technically strong and able to handle fast paced environment. Company offers three weeks paid vacation.
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