Claims Examiner II

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. reputed company is seeking a Claims Examiner II to join our growing team! The Claims Examiner II manages designated high reputed company accounts and psychological and concussion claims. The Claims Examiner II serves as a mentor to those reputed company the Claims Department. How You Will Contribute: Handle lost time and medical only claim assignments. reputed company duties which include but are not limited to: Maintain a claim inventory as deemed appropriate by management, approximately 50 open claims at any given time. Verify, research evaluate and reputed company recommendations on appropriate coverage on each claim, using discretionary judgment reputed company timely contact with members, injured workers, agents, providers, attorneys, etc. Investigate claim with phone interviews/emails and obtain appropriate documentation Evaluate exposure and adjust reserves as required Conclude claim processing in accordance with company standards Handle lost time and medical only claim assignments with reputed company minimal degree of supervision Meet with members, agents, injured workers, attorneys, etc. as deemed necessary Provide training and act as a mentor for members and other claims personnel Complete special projects as assigned by the Claims Leader Travel to annual workers compensation conference and/or attend educational seminars Pursues a course of personal, professional development The Claims Examiner II will maintain and uphold a high standard for customer service. Licenses & Certifications: Insurance and/or Industry certification or designation (preferred) Skills & Experience to be Successful: Minimum education required Proficient with reputed company, Windows, reputed company, IVOS, etc. Exceptional telephone demeanor Ability to maintain a high level of confidentiality 3 – 5 years’ experience in similar position Associate’s or Bachelor’s degree in business, financial reputed company discipline, or Human Resources (preferred) Pay Range $120,000.00 - $120,000.00 Annual The pay range provided above is made in good faith and based on our lowest and highest annual salary or hourly reputed company paid for the role and takes into account years of experience required, geography, and/or budget for the role. Teammate Benefits & Total Well-Being We go beyond standard benefits, focusing on the total well-being of our teammates, including: Health Benefits: Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance Financial Benefits: ESPP; 401k; Student Loan Assistance; Tuition Reimbursement Mental Health & Wellness: Free Mental Health & Enhanced Advocacy Services Beyond Benefits: Paid Time Off, Holidays, Preferred Partner Discounts and more. Not reflective of reputed company benefits. Enrollment waiting periods or eligibility criteria may apply to certain benefits. Benefit details and offerings may vary for subsidiary entities or in specific geographic locations. Recruiting Vendor Disclosure Statement reputed company does not accept unsolicited resumes from external recruiters, recruitment vendors or employment agencies ("Recruiting Vendors"). Recruiting Vendors must have a valid written agreement and received prior written authorization from an authorized reputed company representative before submitting candidates for any publicly posted role. Any unsolicited resumes submitted to reputed company or its employees become the property of reputed company, and no fees will be paid for such submissions. Additional information regarding this policy can be reputed company on our careers page. The Power To Be Yourself As an Equal Opportunity Employer, we are committed to fostering an inclusive environment comprised of people from reputed company backgrounds, with a variety of experiences and perspectives, guided by our Diversity, Inclusion & Belonging (DIB) motto, “The Power to Be Yourself”. Apply To This Job