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in Cumberland, RI

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About this job

Position Summary

The Workers' Compensation Examiner is directly responsible for the supervision of our workers' compensation claims program with a large financial exposure for CVS. This involves the oversight of all workers' compensation claims in an assigned territory that are handled by insurance carriers and Third Party Administrators (TPA). This position is directly responsible for ensuring adherence to claim handling guidelines, analyzing TPA performance and directing claims handling. In addition, this position requires the ability to field and provide solutions on a high volume of inquiries from the CVS business units and departments.

Position Summary

The Workers' Compensation Examiner is directly responsible for the supervision of our workers' compensation claims program with a large financial exposure for CVS. This involves the oversight of all workers' compensation claims in an assigned territory that are handled by insurance carriers and Third Party Administrators (TPA). This position is directly responsible for ensuring adherence to claim handling guidelines, analyzing TPA performance and directing claims handling. In addition, this position requires the ability to field and provide solutions on a high volume of inquiries from the CVS business units and departments.

Preferred Qualifications

Insurance designations a plus.

Excellent analytical, organizational, written and communication skills.

Some overnight travel may be required for vendor meetings and claim reviews.

Required Qualifications

  • 2+ years of experience working in Worker's Compensation preferably in Lost Time

Claims or indemnity.