Sr Workers' Compensation Claims Examiner - (Covina, CA)

Overview Responsible for the prompt and efficient Workers Compensation examination, investigation and settlement or declination of insurance claims through effective research, negotiation and interaction with insureds and claimants, ensuring that company resources are utilized in a cost effective manner in the process. Responsibilities * Review, process and conclude moderate severity claims that may be limited in exposure but occasionally complex in nature. * Provides quality service to all customers. * Verifies coverages and policy conditions. * Completes quality investigation by gathering all pertinent info (recorded statements, review of police and medical reports, photographs and appraisals/estimates of damages, etc.). * Determines if subrogation exists and takes steps necessary to initiate recovery efforts. * Maintains appropriate financial accountabilities (reserving) and controls loss adjustment expenses. * Documents all correspondence, reports, discussions and decisions.