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Workers Compensation Claims Examiner

Contractor Remote
  • Boston, Massachusetts, United States View on Map
  • Post Date : March 25, 2022
  • Apply Before : June 10, 2022
  • Salary: $40.00 - $45.00 / Hourly
  • 2 Application(s)
  • View(s) 178
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Job Detail

  • Benefits 401K, Dental Insurance, Medical Insurance
  • Compensation Range Hourly, USD

Job Description

Position Summary:

Investigates, evaluates, disposes, and settles the most complex claims and highest exposures with minimal supervision.  Includes the investigation, determination, and evaluation of coverage, liability and damages, and the setting of proper reserves. Incumbents at this level typically hold claims reserve and settlement authority of up to $10,000 liability and/or $25,000 workers compensation or greater.

Essential Duties & Responsibilities:

  • Exercises proper judgment and decision making to analyze the claims exposure, to determine the proper course of action, and to appropriately settle the claim.
  • Interacts extensively with various parties involved in the claim process.
  • Able to communicate concise action plans and present plans for moving the case to a conclusion.
  • Will demonstrate complete knowledge of the claim file process through presentation of actions and responses to client questions.
  • Processes claims consistent with clients’ and corporate policies, procedures, and “best practices” and also following any statutory, regulatory, and ethics requirements.
  • Demonstrated ability to comply with carrier reporting and threshold requirements.
  • Able to recognize and pursue excess insurance recoveries. Incumbents will have the ability to handle a full caseload, with proven ability to handle cases of increased severity

Additional Considerations:

Required:

  • High school diploma
  • 5 or more years of related claims experience required
  • Appropriately licensed and/or certified in all states in which claims are being handled
  • Extensive knowledge of accepted industry standards and practices Computer experience with related claims and business software

Desired:

  • Bachelor’s Degree

Work Traits:

  • Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges.
  • Analytical skills are necessary to make decisions and resolve complex issues inherent in handling losses.
  • Ability to successfully negotiate the settlement and disposition of serious claims including the ability to interpret related documentation.

U.S. Eligibility Requirements:

  • Interested candidates must submit an application and resume/CV online to be considered
  • Must be 18 years of age or older
  • Must be willing to submit to a background investigation; any offer of employment is conditioned upon the successful completion of a background investigation
  • Must have unrestricted work authorization to work in the United States.  For U.S. employment opportunities, Canon hires U.S. citizens, permanent residents, asylees, refugees, and temporary residents. Temporary residence does not include those with non-immigrant work authorization (F, J, H, or L visas), such as students in practical training status. Exceptions to these requirements will be determined based on the shortage of qualified candidates with a particular skill. Canon will require proof of work authorization

The Canon Group offers competitive salaries and benefits, including medical/dental/vision plans, life and accident insurance, 401(K), employee assistance program, flexible work hours (availability varies by office and job function) training programs, and more.

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