Job Description

Description

The Claims Analyst, Senior Claims Analyst independently adjudicates multi-state workers’ compensation indemnity, EL and subrogation claim files that are generally non-catastrophic in nature.

ESSENTIAL FUNCTIONS

  • Receives lost time assignments. Verifies and determines applicability of coverage. Completes 24 hour contact with employer, employee and attending physician inclusive of telephonic contact, recorded statements and/or in person interviews with insured, employee, physician, and witnesses.
  • Reviews all coverage issues and determines compensability within Midwest standards.
  • Aggressively manages all aspects of the workers’ compensation claims management process inclusive of litigation, and providing direction to defense counsel.
  • Responsible for customer relations management, consistently establishing and maintaining high levels of trust and confidence with clients, through constant contacts, prom...

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