Complex Claims Representative - Concentration In Pennsylvania And Delaware.

Guard Insurance Group Wilkes Barre , PA 18701

Posted 2 months ago

Overview

The Complex Claims Representative would handle loss time CCU level claims throughout multiple jurisdictions with a heavy concentration in Pennsylvania and Delaware. This could be a great promotional opportunity for someone looking to expand their knowledge and experience of handling lost time claims.

Responsibilities

  • Handle Pennsylvania and Delaware claims and other jurisdictions as needed

  • Determines compensability and/or coverage issues for workers' compensation loss time claims

  • Negotiates and completes settlements under management's review

  • Gathers medical and factual evidence

  • Coordinates and directs the activities of outside investigation

  • Manages outside counsel and litigation within given authority

  • Communicates daily with claimants, and/or attorneys, outside investigators, rehabilitation personnel, as well as insureds, medical providers and agents

  • Completes timely and efficient claims handling responsibilities

Qualifications

  • Ability to learn claims handling procedures in multiple states

  • Demonstrates strong organizational, problem solving, negotiation and conflict resolution skills

  • Shows positive attitude toward GUARD and claims department

  • Demonstrates the ability to positively contribute to and supports the vision, values, and strategies of the Claims Department and proven ability to work well in a team environment

  • Innovative thinker with the ability to multi-task

  • Excellent verbal and written communication skills

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Complex Claims Representative - Concentration In Pennsylvania And Delaware.

Guard Insurance Group