Sunrise Systems, Inc. · 8 hours ago
Claims Examiner
Sunrise Systems, Inc. is seeking a Workers Compensation Claim Adjuster - Trainee to join their team. The role involves conducting compensability investigations, handling new losses, and managing communications with clients and medical providers regarding workers compensation claims.
Responsibilities
Compensability investigations in regards to Workers Compensation claims
Handle new losses, verifies accuracy of information
Deals with, insureds, clients, and other customers
Complete claim investigation via phone and email to injured workers, medical providers and employers
Handles jurisdictional notices, payment of benefits, scheduling medical appointments, completion and filing of necessary forms
Review medical reports and information to determine compensability of claims
Work with Special Investigation Unit when necessary
Direct attorney representation to strategize case resolution
Handles other administrative duties for the team as assigned
Qualification
Required
College graduate
Strong customer orientation to respond to and support customer needs
Strong written and oral communication skills to effectively deal with outside investigative sources and with insureds by telephone
Strong analytical and organizational ability
Strong PC experience to be comfortable in an automated environment
Typing skills of 35-45 wpm to perform effectively with computer screens
Works well within a team environment to give and solicit feedback, identify opportunities for growth of self and other team members
Believes in own judgment and acts to support or defend own choices
Committed to high standards of behavior and performance
Adapts own approach or behavior to particular situation
Builds and maintains positive image for client
Preferred
Workers Compensation experience preferred
Benefits
Sunrise offers ACA compliant medical coverage/dental insurance/vision insurance to all employees.
Sick time benefits as required per State regulations.
Company
Sunrise Systems, Inc.
Sunrise Systems was founded in 1990 with a clear vision to deliver world-class staffing service solutions in all labor categories, including IT consulting and solutions; all with the commitment to provide service that exceeds expectations and become the most trusted name in the industry.