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Workers compensation claims management at a large TPA/Carrier or with an employer - 8+ Manage the team of liability claims analysts who serve as a liaison between the TPA and company employees, legal counsel and occasionally law enforcement.
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Key Responsibilities: Conduct thorough legal research and case analysis to evaluate the merits of workers' compensation claims. If you are passionate about representing clients in workers' compensation cases and guiding them through the claims process, this is the opportunity for you.
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The compensation analyst will implement and administer compensation programs; have a demonstrated reputation of strong problem solving; be highly responsive, and customer oriented.
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Demonstrated independent management of significant claims litigation portfolio including direct management of outside counsel using a TPA. Responsible to develop and implement processes and procedures with a TPA as well as internally to settle claims early and to foster settlements across the board.
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Makes any necessary corrections in Comphub due to a change in venue, mistake/error, consolidated claims etc. Complies with all Workers’ Compensation Commission policies, regulations, and state laws related to appeals.
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Manages and makes recommendations on workers' compensation cases and claims, coordinating with the third party administrator, employees, department representatives and designated counsel to develop strategies for case management and promote return-to-work; Advises managers, supervisors, and employees regarding workers' compensation.
$114,096.96 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Enterprise Compensation Analyst,Diversity & Inclusion Analyst,Project Analyst,Employee Relations Analyst,Talent Acquisition Analyst, andAcademy Program Design Analyst.
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The Workers Compensation Specialist at Cayuga Health System is responsible for the day-to-day activities of administering the Workers Compensation program including timely filing of claims, monitoring open claims, coordinating prompt return to work, and effectively communicating with employees, supervisors, medical providers, and the insurance adjuster.
$58,458 - $75,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Explore life at Fortune Brands Job DescriptionThe Benefits Analyst is responsible for supporting the day-to-day operations of the Fortune Brands Innovations health and welfare plans. Lead ERISA appeals administration, ensuring claims are processed consistently and timelyConduct annual enrollment educational sessionsGather and analyze data for annual plan renewals.
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Collaborates with workers' compensation patients, employers, providers, and claims adjusters to coordinate medical and disability services for timely return to work. The Workers' Compensation Nurse Case Reviewer collaborates with medical care providers, employers, employees, and at times, attorneys to support the appropriate return to work, the provision of necessary medical services, and the evaluation of coverage under the Plan. The Nurse Case Reviewer reports to the Casualty Department Manager.
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The ability to assist HR Director with administration of onsite workers compensation claims and partner with the workers compensation adjuster on requested information. The ability to partner with Human Resources Director on the completion of unemployment claims and unemployment hearings.
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ESIS , a multi-line Third-Party Administrator (TPA), provides claims, risk control & loss information systems to Fortune 1000 clients across its North American platform. ESIS provides a full range of sophisticated risk management services, including workers compensation claims handling; a broad spectrum of casualty insurance products, such as general liability, automobile liability, products liability, professional liability, and medical malpractice claims handling; and disability management.
$137,000 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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General Description: Manages medical aspects of workers compensation and disability claims for Third Party Administration (TPA) accounts by coordinating with patients, physicians, other health care providers and employers to facilitate positive patient outcomes, timely return to work if applicable and efficient claims resolution.
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AmTrust has an immediate need for a Workers' Compensation Claims Adjuster II. Responsible for the prompt and efficient examination, investigation and settlement or declination of insurance claims through effective research, negotiation and interaction with insureds and claimants, ensuring that company resources are utilized in a cost effective manner in the process.
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Strong organizational skills and accountability in handling required documentation for workers' compensation claims. Participate in interdisciplinary meetings to coordinate care with external providers, attorneys, and claims adjusters involved in workers' compensation cases.
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