Claims Examiner

Sunrise Systems, Inc.
Alpharetta, GA

Job Title: Claims Examiner

Location: Alpharetta, GA 30022

Duration: 3 months on W2 contract (Temp to Perm)


Description:

License Requirements: Need to be licensed in Georgia to handle Workers Comp claims. Florida would be the next most important license along with SC and NC


Job Hours-8:00am-5:00pm

Job Site-On site


Major duties & responsibilities:

  • Deliver superior customer service and satisfaction through effective interactions with insureds, claimants, agents, underwriters, and others.
  • Contribute to collaborative environment by consistently demonstrating teamwork, high motivation, behaviour and effort to achieve goals and objectives.
  • Provide accurate and timely expense and loss assessments on Lost Time claims.
  • Timely and appropriately communicate with internal and external customers relative to account trends, issues, and claim activity.
  • Consistently demonstrate fundamentally sound claim handling by achieving compliance in the areas of investigation, coverage, loss assessment, and case management.
  • Ensure the establishment, documentation, and execution of appropriate strategies to bring early resolutions to assigned claims.
  • Recognize and properly address coverage issues, potential fraud, and subrogation; follow guidelines and completion of reporting forms.
  • Keep all files on a current diary system in order to monitor new developments, follow up on requests, update management and respond to all other diary activities in a timely manner.
  • Provide guidance and direction to team members with the ultimate goal of managing and resolving a claim.


**Need to be licensed in Georgia to handle work comp. Florida would be the next most important license, along with SC and NC.


Minimum requirements:

  • A personal commitment to superior performance that adds value to our company.
  • An ability to work effectively with a wide variety of people.
  • An aptitude for evaluating, analysing and interpreting information.
  • Excellent organizational skills a must.
  • The ability to multi-task along with proven time management and organizational skills.
  • An ability to work well in teams.
  • Demonstrated critical thinking and decision making ability.
  • Excellent verbal and written communication skills.


Education/experience:

  • Adjuster's license to handle Workers Compensation claims is required and/or must be obtained immediately after hire date.
  • Bachelor's Degree or equivalent experience preferred.
  • Minimum of 3 years of Workers Compensation claim handling required.
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