Workers'Compensation Claims Examiner

Who we are: Headquartered in Fenton, Missouri, a suburb of St. Louis, Vanliner Insurance Company is a subsidiary of National Interstate Insurance Company and a leading provider of transportation insurance. We ve been providing customized insurance products to the moving and storage industry since 1978. Our success is driven by the expertise, innovation and commitment to customer service that our employees provide. If you are ready to join an engaging and driven team such as ours, we would love to hear from you! Key aspects of this role: As a Workers Compensation (WC) Claims Examiner, you will be primarily responsible for the handling of assigned WC claims under minimal direction from the supervisor. You will investigate claims by making timely contact to all involved parties to determine if any benefits are due under state WC statues and process all benefits due to the injured party and act as the key contact within their assigned jurisdiction throughout the process. In addition, you will also be expected to provide leadership, mentoring and coaching to lower level adjusters and claims support representatives. Desirable candidates will be able to effectively: Analyze the claim s exposure in order to set reserves to maximum probable exposure and notify appropriate parties of increases within the predetermined reserve amounts in accordance with the claims department procedures Maintain communication with the insured, injured worker, medical provider, and any other persons involved throughout the claim to ensure all proper benefits due are paid in a timely fashion Maintain an organized file, documented with clear and concise notes of activities and action plans to allow for easy review of the file by supervisors, auditors, etc. Keep a claims diary to allow for monitoring and reviewing claims as needed Determine when vendor involvement is necessary and direct and monitor the vendor services to ensure the effective cost containment of expenses on claims Assign, monitor, and direct defense counsel in settlement negotiations and claim handling to effectively bring the claim to resolution Review and remain updated on all current laws and necessary forms in assigned jurisdictions to allow for proper handling and reporting of claims to the state workers compensation boards Perform other duties or ad hoc tasks as assigned Skills and background that we are looking for: Bachelor s degree from a four year college or university preferred A minimum of 5 years of experience in WC claims handling Ability to read and interpret legal documents, insurance policies and medical reports and billings Exceptional written, verbal and interpersonal communication Working knowledge of Microsoft Word, Excel, Power Point and Outlook Solid analytical, reasoning and problem solving abilities Ability to speak professionally and effectively in one on one or group settings