Claims Examiner, WC
Crum & Forster Insurance Co - Orange, CA

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Reviews claims for insurance coverage

Handles more complex issues involved in a workers compensation claims

Completes initial investigation of a claim including three point contacts

Reviews claims to determine compensability

Monitors claim process bills and all other benefit payments

Adheres to jurisdictional workers compensation guidelines including the issuance of forms

Attends necessary training to learn new information and skills

Works closely with workers compensation Claims Supervisor to learn how to manage a litigated claim

Handles account coordination

Facilitates claim reviews

Functions as primary account contact

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

Be available to visit accounts when necessary


At least of five years experience with workers compensation claims

High school diploma Bachelor's degree preferred