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Job Title: Workers Compensation Claims Examiner. Analyze mid- and higher-level workers' compensation claims to determine benefits due, ensure ongoing adjudication within company standards and industry best practices, and identify subrogation opportunities while negotiating settlements.
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Job Title: Claims Examiner - Workers Compensation. PRIMARY PURPOSE: 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 adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
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Position Title: Claims Representative. Claims Representative/ Claims Analyst/Claims. BCforward is currently seeking a highly motivated Claims Representative Role at Trenton, NJ.
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Develop and manage action plans for workers' compensation claims to resolution, coordinate return-to-work efforts, and approve claim payments. Manage workers' compensation claims, determining compensability and benefits due on long-term indemnity claims, monitoring reserve accuracy, and filing necessary documentation with state agencies.
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Title: Claim Examiner/Claims Adjuster. We are seeking a Claims Adjuster with experience in claims processing. Consult with legal counsel on claims requiring litigation.
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Job Title: Claims Examiner. The client is seeking a qualified Claims Examiner to analyze mid- and higher-level workers compensation claims to determine benefits due, ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements.
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Analyze complex or technically difficult workers' compensation claims to determine benefits due. Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim.
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Job Title: Claim Examiner- WC Keywords: Number of Positions: Remaining Positions: Duties: Receives claim assignment, confirms policy coverages and directs acknowledgement of claims.
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Only qualified Claims Examiner candidates located in the Long Beach, CA areas will be considered due to the position requiring an onsite presence. Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments.
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Location (On-site, Remote, or Hybrid?) Contract Duration: Contract until 10/31/2024. Long Beach, CA (Remote) Work Hours: 08:00 AM - 04:30 PM.
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One (1) year of professional experience working as a life insurance underwriter or compliance analyst, a licensed insurance producer selling life insurance, annuities, or health insurance claims or appeals examiner or SIU.
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Handle subrogation of claims and negotiate settlements. Requires workers' compensation claims experience. Process complex lifetime medical and/or defined period medical claims, including state and physician filings, and make decisions on appropriate treatments recommended by utilization review.
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Title : Claims Examiner - Workers Compensation. To analyse complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
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Analyses 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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The claims examiner reports directly to the claims manager. They are primarily responsible for the processing functions (operation, adjudication, and payment) of UB-92 and HCF1500 claims that are received from PHP affiliated medical groups and hospitals for HMO patients.
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claims title examiner jobs
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