Claims Examiner

Job Description Job Summary: The Claims Examiner is the primary contact for the Workers’ Compensation client base. The Claims Examiner is responsible for managing claims and reserve activity, reporting to excess, ensuring Medicare reporting compliance, assisting with audits, and communicating with all stakeholders involved in the claim process.Principal Duties & Responsibilities:Solid knowledge of Workers’ Compensation Claims ManagementAble to meet deadlines, work independently as well as in a team environmentDemonstrate effective business communication skillsMaintaining system notes and diaries Assistance with client retention and enrollment processQualifications:Ability to handle sensitive information and maintain a high level of confidentialityOutgoing personality, self-motivated and self-disciplinedProficient in Microsoft Office (Word, Outlook, Excel)Strong mathematical skillsAbility to type 40 WPM Proficient with 10 keyExcellent customer service and telephone skillsOrganized, attention to detail, flexibility and strong ability to multi-taskAbility to work in a fast paced environment individually or as a teamProblem-solving skills Effectively work with others to build consensus and rapportValid Driver’s License Education and ExperienceKnowledge and skills at a level normally acquired through the completion of a High School education or equivalent experience.Preferably 2 years of claims management experience Physical DemandsAbility to sit for prolonged periods of timeAbility to lift and move 25 lbs.Ability to travelThis job description is not intended to be all inclusive and the employee will also perform other reasonably related business duties as assigned by the immediate supervisor and other management as required.