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Claims Specialist
Ref No.: 17-21786
Location: Alpharetta, Georgia
Pay Rate : $ 27.00 - 32.00 /Hour
Description

Client is the world's largest publicly traded property and casualty insurer. With operations in 54 countries, Client provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.

Currently, we are seeking a candidates who may have left the work force or returning veterans who want to work as a Workers Compensation Lost Time Claims Examiner in our Alpharetta, GA. office.

POSITION DESCRIPTION:
  • Deliver superior customer service and satisfaction through effective interactions with insureds, injured workers, 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.
  • Timely and appropriately communicate with internal and external customers relative to account trends, issues, and claim activity.
  • 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.
  • Provide guidance and direction to team members with the ultimate goal of managing and resolving a claim.

COMPETENCIES/TECHNICAL SKILLS:
  • A personal commitment to superior performance that adds value to our company.
  • 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.

EDUCATION/EXPERIENCE:
  • Adjuster's license to handle Workers Compensation claims is required and/or must be obtained immediately after hire date.
  • Bachelor's Degree or equivalent experience preferred.
  • Minimum of 3 years of Workers Compensation claim handling required.