The Complex Claims Representative would handle loss time CCU level claims throughout multiple jurisdictions with a heavy concentration in California and Illinois. This could be a great promotional opportunity for someone looking to expand their knowledge and experience of handling lost time claims

• Handle CA and IL Claims
• Determines compensability and/or coverage issues for workers compensation loss time claims
• Negotiates and completes settlements under managements review
• Gathers medical and factual evidence
• Coordinates and directs the activities of outside investigation
• Manages outside counsel and litigation within given authority
• Communicates daily with claimants, and/or attorneys, outside investigators, rehabilitation personnel, as well as insureds, medical providers and agents
• Completes timely and efficient claims handling responsibilities

• Ability to learn claims handling procedures in multiple states
• Demonstrates strong organizational, problem solving, negotiation and conflict resolution skills
• Shows positive attitude toward GUARD and claims department
• Demonstrates the ability to positively contribute to and supports the vision, values, and strategies of the Claims Department and proven ability to work well in a team environment
• Innovative thinker with the ability to multi-task
• Excellent verbal and written communication skills
• Some travel may be required