Now Hiring: Workers Compensation Claims Examiner Are you ready for a life-changing opportunity? Are you ready to learn and work with a Top Fortune 500 company? Then embrace this rewarding opportunity NOW! Apply today because openings are limited!! Overview To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudic[ "\t. Analyzes and processes complex or ... more details
Now Hiring: Workers Compensation Claims Examiner Are you ready for a life-changing opportunity? Are you ready to learn and work with a Top Fortune 500 company? Then embrace this rewarding opportunity NOW! Apply today because openings are limited!! Overview To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudic
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Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
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Negotiates settlement of claims within designated authority.
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Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
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Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level.
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Prepares necessary state fillings within statutory limits.
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Manages the litigation process; ensures timely and cost effective claims resolution
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Coordinates vendor referrals for additional investigation and/or litigation management.
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Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.
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Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
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Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner.
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Communicates claim activity and processing with the claimant and the client; maintains professional client relationships. Ensures claim files are properly documented and claims coding is correct.
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Refers cases as appropriate to supervisor and management.
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