Claims Representative
CurrentProfessional Designations/Licenses: Independent Adjuster All Lines LicenseProfessional Experience: Investigate claims to determine compensability of medical, temporary, and permant disability benefits. Provide client updates throughout the life of the claim and generate reports to present during file review. Refer claims for oversight based on the carrier's reportable criteria. Direct medical treatment, assign telephonic or field case managers, and coordinate independent examinations Calculate reserves for the ultimate probable cost and evaluate claims for settlement Exhibit jurisdictional expertise, maintain appropriate licensing and file board forms. Create a litigation strategy with defense counsel to bring the claim to closure. Coordinate return to work and/or determine availability of modified work. Manage litigated, complex, catastrophic, and second injury claims per state and carrier guidelines. Type of Claims / Industry Handled:Hospitality, trucking companies, government contracts, construction and healthcare claims.