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Senior Claims Adjuster

Job not on LinkedIn

October 29

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Logo of SR International Incorporation

SR International Incorporation

Established in 2002, SR International Inc is one of the fastest growing and reputed providers of Information Technology Services and Solutions in United States. Since our inception, we have been a trusted IT partner for our clients. We take pride in our highly skilled IT resources and unique engagement model. We have been consistently delivering our promises as a high performance team. Our expertise is in Cloud Computing, Mobility, Web Technologies, .Net, Java, ERP and CRM are second to none.

11 - 50 employees

Founded 2002

đź“‹ 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.

🎯 Requirements

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

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