Claims Specialist

The primary objective of this position is to manage all aspects of Work Injury Compensation claims (WICA-Employee and WIC-PW). Resolving of claims within prescribed authority in the most effective, efficient way while delivering a customer-centric claims service.

• Proactively manage claims
• Reviewing and analyzing policy coverage
• Ensure adequacy of reserve, conduct on time file review and resolution
• Evaluate and negotiate the resolution of claims ensuring cost effective outcome
• Identifying potential fraud, risk management and recovery
• Managing client’s expectation both internal and external
• Managing vendors’ service level and quality of work
• Taking responsibility for ad-hoc projects

• Knowledge in WICA claims handling
• Excellent communication and internal personal skills
• Excellent customer service
• Ability to organize work effectively and methodically
• Highly adaptable to change in a fast-paced environment
• Ability to support the team claim handlers as required

• 401k matching
• Health insurance
• Flight privileges

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