Adjustment examiner vs senior claims representative

Differences between adjustment examiner and senior claims representative duties and responsibilities

Adjustment examiner example responsibilities.

• Manage Kemper's internal loss control and claims for all Kemper employees and offices.
• Blood collection by venipuncture and capillary technique ensure all specimens are collect accurately, on time and according to establish procedures.
• Coordinate vendor referrals for additional investigation and/or litigation management

Senior claims representative example responsibilities.

• Conduct detailed interviews with physicians, prepare comprehensive written reports, retain defense counsel, and effectively manage the litigation process.
• Utilize Xactimate estimating system during field inspection to properly evaluate commercial property damages.
• Update computer generate claim file (s) with medical diagnoses, current CPT and ICD codes.
• Analyze claims using IDC and CPT coding and negotiate settlements with attorneys, claimants, medical providers, and insureds.
• Set up independent medical examinations, issue denials, attend arbitration hearings.
• Coordinate and attend various mediation and arbitration hearings as well as numerous settlement hearings and conferences.
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