Job Description

Job Description

Job Description

Job Requirements:

• Handling of catastrophic and highly complex losses
• Reserving files
• Fundamental knowledge of insurance industry, claims and the insurance legal and regulatory environment.
• Excellent oral and written communication skills and great time management skills.
• Effective analytical and interpretive skills
• Strong organization and interpersonal skills
• Recent Worker’ Compensation Claims handling experience to qualify.
• Capable of working under limited supervision to receive assignments and review Worker’s Compensation Insurance Claims and Policy Information to provide background for investigation
• Will contact, interview and obtain statements (recorded or in person) from the insured, claimants, witnesses, physicians, attorneys; police officers, etc. to secure necessary claim information
• Will evaluate facts supplied by investigation to determine compensability and financial exposure of the account, if any, and extent of the company’s obligation to the insured under the policy contract
• Will prepare reports on investigation, settlements, denial of claims, individual evaluation of involved parties, etc.

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