Our client, a Top Property & Casualty insurance organization, is currently seeking a
Senior Workers Compensation Examiner for a
Contract to Hire opportunity , located in Fremont, CA
By working for our client, you will be exposed to a household name Enterprise Insurance company, work in a fast paced corporate environment and be an integral part to the team.
In addition to working with the worlds most recognized and trusted name in staffing, Kelly employees can expect:
Year-end bonus program
Recognition and incentive programs
Access to continuing education via the Kelly Learning Center
The Senior Workers Comp Claim Representative, under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably and within established best practices guidelines.
Duties include but are not limited to:
Under limited supervision, receives assignments and reviews claim and policy information to provide background for investigation and may determine the extent of the policys obligation to the insured depending on the line of business.
Contacts, interviews and obtains statements (recorded or in person) from insureds, claimants, witnesses, physicians, attorneys, police officers, etc. to secure necessary claim information.
Depending on line of business may inspect and appraise damage for property losses or arranges for such appraisal.
Evaluates facts supplied by investigation to determine extent of liability of the insured, if any, and extend of the companys obligation to the insured under the policy contract.
Prepares reports on investigation, settlements, denials of claims, individual evaluation of involved parties etc.
Sets reserves within authority limits and recommends reserve changes to Team Leader.
Reviews progress and status of claims with Team Leader and discusses problems and suggested remedial actions.
Prepares and submits to Team Leader unusual or possible undesirable exposures.
Assists Team Leader in developing methods and improvements for handling claims.
Settles claims promptly and equitably.
Obtains releases, proofs of loss or compensation agreements and issues company drafts in payments for claims.
Informs claimants, insureds/customers or attorney of denial of claim when applicable.
The ideal candidate will hold a Bachelor Degree coupled with 4+ years experience handling workers' compensation claims as evidenced by career progression within the company or similar organization. Should hold authoritative technical knowledge of claims handling and claims terminologies with strong negotiation skills. Strong knowledge of the companys products, services, coverages and policy limits, along with a solid understanding of claims best practices. Commanding knowledge of applicable state and local laws related to line of business handled.
Important information: This position is recruited for by a remote Kelly office, not your local Kelly branch. Please submit your resume to be considered for this position by pressing the SUBMIT RESUME button below. If you have questions about the position, you may contact the recruiter recruiting for this position ( ),
however , your resume should be uploaded via the
SUBMIT RESUME button included within
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Individuals with Disabilities, Protected Veterans, Sexual Orientation, Gender Identity and is
committed to employing a diverse workforce. Equal Employment Opportunity
is The Law.