Senior WC Claims Analyst: High-Dollar & Litigated

ViziRecruiter,LLC.

Quincy (MA)

Hybrid

USD 60,000 - 100,000

Full time

14 days+
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Job summary

A recruitment firm in the USA seeks a Claims Manager to oversee complex Workers' Compensation claims with a focus on high dollar and litigated cases. The role requires a Bachelor's degree or significant experience in claims management and involves mentoring Analysts, providing technical guidance, and managing claims of substantial financial impact. The company offers a flexible hybrid work schedule and values strong interpersonal and negotiation skills in candidates.

Qualifications

  • Licensed adjuster as appropriate by jurisdiction.
  • Thorough knowledge of Workers' Compensation laws and procedures.
  • Knowledge of medical terminology involved in complex claims.
  • Experience in handling complex, high dollar, litigated claims.

Responsibilities

  • Manages complex claims with emphasis on high dollar and litigated claims.
  • Provides technical guidance on claims management.
  • Conducts investigations on assigned claims and creates action plans.
  • Mentors Analysts on adherence to claims standards.

Skills

Excellent interpersonal skills
Ability to multi-task
Excellent time management skills
High level of negotiation skills
Analytical skills
Planning skills
Influence skills
Communication skills
Presentation skills
Leadership and management skills

Education

Bachelor's degree or 7 years' experience
Industry Designation (AIC, ARM, CPCU)

Job description

A recruitment firm in the USA seeks a Claims Manager to oversee complex Workers' Compensation claims with a focus on high dollar and litigated cases. The role requires a Bachelor's degree or significant experience in claims management and involves mentoring Analysts, providing technical guidance, and managing claims of substantial financial impact. The company offers a flexible hybrid work schedule and values strong interpersonal and negotiation skills in candidates.
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