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Claims Background: Workers Compensation, Subrogation. Investigate, evaluate, and resolve complex Workers Compensation claims, applying your claims experience and analytical skills to make informed decisions and bring claims to resolution.
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Workers Compensation Claims Adjuster III. Requires a working knowledge of the Labor Code of the State of California as it pertains to workers compensation claims and the legal requirements for handling them.
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Safekeep is a business unit that focuses on automating insurance claim subrogation for auto, workers compensation, property, and general liability claims. Identify claims with subrogation potential.
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The Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and negotiate settlements to ensure specific customer service requirement to achieve the best possible outcome in the claim, supporting the goals of claims department and of CorVel.
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The Claims Adjuster performs duties to manage a caseload of low to moderately complex workers’ compensation claims. Completes detailed settlement analysis and recommends appropriate settlement value, utilizing knowledge of appropriate Workers Compensation insurance principles and laws, subrogation recoveries, offsets and deductions, claim and disability duration, cost containment principles; including medical management practices and Social Security and Medicare application procedure as applicable.
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Provides support in various disciplines including material damage, property, liability, subrogation, workers compensation, medical, and litigation. Under minimal supervision, performs claims/zone support activities.
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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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Under moderate supervision, performs basic claims/zone support activities. Enters new loss report information and updates claims documentation. Handles claims related financial transactions including transfers, recoveries, and recodes for claims files as needed.
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Workers Compensation (WC) Adjuster License required according to jurisdictional requirements. Develops subrogation and third party recovery potential and follows reclaim procedures.
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ResponsibilitiesAs a Claims Team Lead, you will be responsible for the administrative and technical supervision of a team of workers’ compensation claims professionals. Minimum 3 years of experience (4 – 5 years preferred) handling workers’ compensation claims in multiple jurisdictions.
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Three or more years experience adjusting California Workers' Compensation Claims is required. The Workers' Compensation Claim Representative II is responsible for the investigation and adjustment of assigned claims.
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Generally, incumbent does not work on workers compensation claims. Analyzes coverage and settles moderately complex claims in one or more of Gallagher Bassett's specialty claims areas.
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Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. Manages all aspects of investigative activity on complex claims. Technical claims investigations/settling experience with 4-8 years experience in Claims or similar organization.
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At least 3-5 years' experience handling lost time workers compensation claims required; past experience with Virginia and Maryland jurisdiction is required. As a member of our claims team, utilize your knowledge of Workers Compensation to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes.
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Requires a high degree of claims handling expertise to include a minimum of at least five years experience managing indemnity cases, many with complex or high potential subrogation, rehabilitation, medical management, and/or legal issues & possess an SIP certificate.
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subrogation workers compensation claims jobs
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