Work Schedule-Hybrid schedule-3 days in office (Monday, Tuesday and Wednesday) Work from home Thursday and Friday
Work Hours-Flexible between 7:00am-5:30pm. As long as they are working 8 hours, lunch 60 minutes
Summary: The main function of Workers Compensation Lost Time Senior Claims Examiner is to investigate, analyze, and determine compensability and administer payment and resolution of workers compensation claims.
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, and comply with jurisdictional rules and regulations, filing forms timely.
Timely and appropriately communicate with internal and external customers.
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.
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.
Adjuster’s license to handle Workers Compensation claims is required for GA.
Any other licenses in the Southeast Region would be helpful but not mandatory
Bachelors degree and 2-4 years of Lost Time experience required.