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Workers Compensation Claim Representative
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- Manage Workers' Compensation claims with lost time to conclusion and negotiate settlements where appropriate to resolve claims.
- Independently handles assigned claims of low to moderate complexity where Wage loss and the expectation is a return to work to modified or full duty or obtain MMI with no RTW. There are no litigated issues or minor to moderate litigated issues.
- The injured worker as returned to work, reached Maximum Medical Improvement (MMI) and is receiving PPD benefits.
- The claim involves moderate to complex litigation issues IW has returned to work, reached Maximum Medical Improvement (MMI), and has PPD. File litigated to dispute the permanency rating and/or causality.
- Work in collaboration with specialty resources (i.e. medical and legal) to proactively pursue claim resolution opportunities, (i.e. return to work, structured settlement, and discontinuation of benefits through litigation).
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