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Claims Examiner
Brea, CA
May 2, 2025
Full-time
Full Job Description

Job Title: Sr Claim Examiner- WC

Location: 350 Brea, CA 92821

Shift: 1st

Responsibilities:

  • Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.
  • Manages all aspects of investigative activity on complex claims.
  • Directs the discovery and litigation strategy with legal counsel.
  • Analyzes claims activity and prepares reports for clients/carriers and management.
  • Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost-effective manner and ensuring timely issuance of disbursements.
  • Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits.
  • Develops subrogation and third-party recovery potential and follows reclaim procedures.
PDN-9ed1633f-78da-47a7-839d-60c2ff134695
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Job Category:
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Claims Examiner
American Cybersystems
Brea, CA
May 2, 2025
Full-time
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