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Hours Full-time, Part-time
Location Brea, CA
Brea, California open_in_new

About this job

Job Description

Job Description
Description:
  • Sr Claim Examiner- WC
  • 04-month contract with possible extension or conversion
  • Remote
 
Note:
Must have multiple years' experience handling CA.
Sr Claim Examiner- WC The examiner can work remotely.
 
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.

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Posting ID: 1309832435 Posted: 2026-11-08 Job Title: Senior Claim Examiner Wc