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Claim Examiner- WC

TPI Global Solutions

Brea, CA

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JOB DETAILS
SALARY
$0–$0.01 Per Hour
SKILLS
Analysis Skills, Disbursements, Establish Priorities, Legal, Litigation, Multitasking, Negotiation Skills, Presentation/Verbal Skills, Problem Solving Skills, Reporting Skills, Subrogation, Time Management, Writing Skills
LOCATION
Brea, CA
POSTED
4 days ago
Description:
  • Sr Claim Examiner- WC
  • 03-month contract with possible extension or conversion
  • Remote
 
Note: Must have multiple years' experience handling CA WC. Must work in PST hours .
 
Duties:
  • Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted. 
  • Manages all aspects of investigative activity on complex claims.
  • Directs the discovery and litigation strategy with legal counsel. 
  • Analyzes claims activity and prepares reports for clients/carriers and management. 
  • Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost-effective manner and ensuring timely issuance of disbursements. 
  • Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits. 
  • Develops subrogation and third-party recovery potential and follows reclaim procedures. 
  • Analyzes claims activities and prepares reports for clients, carriers and/or management.
  • Participates in claim reviews.
 
Skills:
  • Ability to work independently while assimilating various technical subjects. 
  • Strong written and oral communication, negotiation and presentation skills. 
  • Advanced analytical and problem-solving skills, with the ability to manage and prioritize multiple projects.
 
Education:
  • Bachelor's degree or equivalent experience required.
  • Comprehensive claims investigations/settling experience 1-3 years’ experience in Claims or similar organization
 
Thanks & Regards

About the Company

T

TPI Global Solutions

SH Global Solutions is a certified Service Disabled Veteran Owned Small Business (SDVOSB) headquartered in Maryland. Established in 2016 to modernize commercial and government technology to mitigate cybersecurity threats and to secure data centers from increasingly more frequent cyber attacks, we specialize in providing Information Technology (IT) solutions and services to government and commercial organizations. Our core areas of core expertise are focused in:

● Datacenter consolidation/optimization - this includes designing, procuring, and installing turnkey secure, modern infrastructure solutions including scalable and modular systems

● Professional program and project management services for large and complex projects

● In-building wireless solutions to enable 5G technology and connect to the growing Internet of Things (IoT)

Our team is comprised of highly skilled and dedicated professionals, uniquely qualified in cutting-edge technology, and engineering, and in the rapid deployment and implementation of new technologies.  Our CEO is a retired United States Air Force Colonel and entrepreneur with over 25 years supporting the DOD, US Government agencies, and NATO worldwide.

COMPANY SIZE
1 to 9 employees
INDUSTRY
Computer/IT Services
FOUNDED
2016
WEBSITE
https://www.shglobalsolutions.com