Claims Analyst, WC
Crum & Forster Insurance Co - Morristown, NJ

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Summary:
Examines claims data and conducts investigation to develop facts for determination of coverage, liability, compensability, subrogation, etc. for assigned state(s) Workers' Compensation claims. Adjusts and manages claims within the limit of assigned authority.

RESPONSIBILITIES:

- Verify insurance coverage

- Complete initial investigation of a claim including three-point contacts

- Review claim to determine compensability

- Identify subrogation potential

- Process bills and all other benefit payments

- Adhere to assigned state(s) WC guidelines including the issuance of forms

- Attend necessary training to stay abreast of the assigned state(s) Labor Code

- Work closely with WC Claims Supervisor in management of medical claims

- Provide customer service to providers, insureds and brokers

- Work closely with other departments such as Loss Control, Underwriting, Marketing and Home Office claims

REQUIREMENTS:

- 4 year college degree

- Job-related training courses a plus

Crum & Forster - 17 months ago - save job - block