Workers Comp Specialist

Investigate, evaluate and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio. , Attend Hearings for Workers Comp cases.
Pay and process claims within designated authority level.
Adjust reserves and provide reserve recommendations to ensure reserving activities consistent with corporate policies.
Enter claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation.
Resolve complex, severe exposure claims, using high service oriented file handling.
Maintain claim files, such as records of settled claims and an inventory of claims requiring detailed analysis.
Verify and analyze data used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures.
Examine claims investigated by insurance adjusters, further investigating questionable claims to determine whether to authorize payments.
Present cases and participate in their discussion at claim committee meetings.
Contact and/or interview claimants, doctors, medical specialists, or employers to get additional information
REQUIREMENTS
2 years experience of workers comp and understand rules regulations, claims will be Nevada claims, some Arizona claims.