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Thoroughly investigating workers’ compensation claims by contacting injured workers, medical providers, and employer representatives. The adjuster is responsible for the prompt and efficient examination, investigation, settlement or declination of worker’s compensation insurance claims through effective research, negotiation and interaction with insures, and claimants, ensuring that company resources are utilized in a cost-effective manner in the process.
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Our clients include property and casualty insurance carriers, law firms, third-party claim administrators and government agencies that use independent services to confirm the veracity of claims by sick or injured individuals under automotive, disability, liability and workers' compensation insurance coverages.
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The Investigator’s primary focus is to investigate insurance claims for a variety of coverage to include workers’ compensation, general liability, property and casualty, disability, life, and healthcare.
$24 - $30 an hourFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation, general liability, property and casualty, and disability. Allied Universal® is hiring a Surveillance Investigator.
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To manage workers’ compensation claims and conduct workplace investigations. Must exhibit a responsible, professional, and positive attitude towards the job, co-workers, and customers.
$16.12 - $16.13Part-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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College degree in Criminal Justice. Remote work options! Collaborate with other investigators and law enforcement agencies as needed to gather information and coordinate efforts. Utilize various surveillance techniques and equipment to monitor subjects covertly.
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Responsibilities include: Handle General Liability / Bodily Injury, Property, Commercial Auto Liability and/or Physical Damage, Workers Compensation, Inland Marine, Professional / Management Liability, Business Interruption, Liquor Liability, Garage/Garagekeepers Legal Liability or Umbrella claims.
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Process workers' compensation claims of injuries/illnesses for district office employees; coordinate workers' compensation services with SISC claims representatives; monitor employee utilization of workers' compensation leave benefits and coordinate compensated leave with the payroll office.
$24.39 an hourTemporaryExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Claims Adjuster Senior Workers Compensation. Incumbents at this level typically hold claims reserve and settlement authority of up to $10,000 liability and/or $25,000 workers compensation or greater.
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Strong understanding of workers compensation, liability and disability claims management. Client Services Director - Midwest Region. CPCU, AIC and/or ARM or other related designation preferred.
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Summit provides workers’ compensation programs and services to thousands of employers throughout the Southeast. Experience with workplace issues, short and long term disability, and workers compensation.
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Handle basic Human Resources functions: personnel file maintenance, answer employee inquiries regarding scheduling, facilitate job fairs and new hire orientation, maintain employee training logs, submit workers compensation claims and maintain OSHA log, basic report generation, respond to initial unemployment claims, interface with employees regarding basic employment issues.
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Resolve insurance claim denials and no-response claims in a timely and efficient manner. Identify and communicate reimbursement and billing system problems to the Medical Collections Manager. Stay abreast of payer regulatory changes and communicate these to team members and Medical Collections Manager.
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Determines benefits due, makes timely claims payments/approvals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Medically manages disability claims ensuring compliance with duration control guidelines and plan provisions.
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The essential functions of this position include, but are not limited to, the following:Responsible for review of higher level, technical Workers’ Compensation bills, managing a diverse assignment that includes all types of medical and medical-legal services; including initial billing submissions, and re-evaluations/reconsiderations from single or multi- state jurisdictions, according to state fee schedules, guidelines, PPO network pricing and formal policies and procedures.
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