Litigation examiner vs senior claims specialist

Differences between litigation examiner and senior claims specialist duties and responsibilities

Litigation examiner example responsibilities.

• Manage litigation costs (defense/consultants/independent investigators/experts).
• Manage litigation costs (defense/consultants/independent investigators/experts).
• Complete claims involving a high level of analysis, evaluation and negotiation for arbitrations submit.
• Manage litigation costs (defense/consultants/independent investigators/experts).

Senior claims specialist example responsibilities.

• Manage assigned third party administration (TPA) multi-jurisdictional workers' compensation; subrogation recovery claims; assign defense attorney.
• Work toward settlement with claimants and attorneys, or determine company litigation strategy, participating in mediation and arbitration when necessary.
• Maintain EDI processing table logic.
• Work with testing HIPAA transactions, reporting and processing data reporting to the state.
• Review data entry of claims receive through the EDI system for accuracy prior to processing.
• Operate within all company regulations regarding HIPAA, fraud, confidentiality, and private health information guidelines.
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