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CHURCH MUTUAL Technical Claim Specialist Workers in MERRILL, Wisconsin

JOB REQUIREMENTS: Technical Claim Specialist- Workers Compensation Job Locations US \| US-WI-Milwaukee \| US-WI-Merrill \| US-WI-Madison \| US-PA-Mechanicsburg \| US-CO-Greenwood Village ID 20243341 Category Claim Type Regular Full-Time Introduction Looking to join a vibrant organization that makes a difference? At Church Mutual, we Stand for Good: Our work is powerful, inspiring and meaningful because we serve those who serve others. We specialize in insuring purpose-driven organizations, leading the way in markets that include nonprofit and human services organizations, religious institutions of all denominations, schools, senior living communities, and camps and outdoor recreation facilities. We foster a workplace where all employees are treated with dignity and respect. Diversity, inclusion and belonging are woven into the fabric of our company through our customers, employees, leadership, business relationships and outreach programs. What you\'ll be doing: Responsible for handling large, complex claim files, including litigated matters, catastrophic claims, umbrella claims, punitive damage claims, severe injury, long duration indemnity, permanent total disability, structural building damage, multiple location damage, including business income exposure and other extensive exposure claims, in accordance with applicable state and federal laws. Set reserves and settle claims within level of authority. Direct work of defense attorney. Actively share knowledge with team members, contribute to training programs, and mentor other claim representatives. On any given day, you\'ll: I. Perform claim tasks timely and document claim files appropriately. Proactively manage claim activities to ensure fair claim resolution. Handle all claims in accordance with state and federal laws. II. Make complex coverage decisions by gathering information necessary to make an informed decision in a fair, equitable, and ethical manner. Deny losses within authority level, providing detailed explanation, citing facts, and policy language. III. Perform a thorough investigation based upon the type, complexity, and severity of the claim. Inspect loss sites as necessary. Upon completion of the investigation, analyze and evaluate the potential high exposure and extensive damages, including potential full or partial liability and compensability denials. Formulate and document an action plan based on the covered damages and injuries. IV. Determine and set reserves based on the most probable outcome of the claim, within authority level. Evaluate and negotiate directly with insured, claimant, or claimant\'s attorney on all cases within authority level. Review claim facts... For full info follow application link. Church Mutual is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. ***** APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/245ED547F0074EBB

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