SR International Incorporation

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Indemnity Claims Processor, Senior Claims Adjuster

Claims SpecialistClaims SpecialistFull TimeRemoteTeam 11-50Since 2002H1B No SponsorCompany SiteLinkedIn

Location

Arizona

Posted

139 days ago

Salary

$30 / hour

4 yrs expEnglish

Job Description

• Investigate, evaluate, analyze, and determine compensability of time loss and catastrophic claims. • Calculate average monthly wage and set reserves. • Compute and authorize indemnity and medical benefits; update claims system; negotiate settlements, and notify the respective agency loss prevention coordinator of risks. • Monitor changes to diagnosis to verify ICD codes are current for Medicare purposes. • Coordinate activities of nurse case managers, attorney and/or subrogation specialists, and with other RMD sections as appropriate. • Identify the need for and coordinate Independent Medical Examinations (IMEs) • Communicate with agency personnel and injured employees, conduct claims management training and claim review, as needed. • Exercise independent judgment on complex claims and functions as directed. • Proper management of litigation working with Attorney General's Office or outside counsel, experts, and plaintiff counsel. • Oversee performance of contracted vendors and experts to assist in claim management, such as labor market consultants, nurse case managers, investigators, and IME coordination services.

Job Requirements

  • 4+ Years of Claims Experience (Indemnity Experience)
  • License - Arizona Adjustments License
  • Proficient in Google Suite

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