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Management of claims includes not only oversight of our TPA, but also actively managing and mitigating the cost of claims, ensuring the claims adjuster is efficiently and effectively managing the claims, making settlement judgments within significant settlement authority, and assisting Placemakers and functional teams at all phases of the workplace injury / illness lifecycle, including accommodation requests, leaves of absence, and return to work.
$84,493 - $101,321 a yearFull-timeExpandApply NowActive JobUpdated 15 days ago - UpvoteDownvoteShare Job
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Evaluate claims according to the Texas Workers' Compensation Labor Code and work with the TPA to process them. Work with all AISD departments and identify transitional duty candidates based on the information received on return-to-work status reports from the TPA and injured employees' treating physicians.
Full-timeExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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Manages a caseload of Workers’ Compensation claims: Communicates, coordinates & collaborates with internal & external stakeholders (e.g. Disability Management Coordinator [DMC], Medical Service Specialist [MSS], Managed Care Organization [MCO], Employer Management [EM] team, Safety & Hygiene, injured workers, employers, Third Party Administrators [TPA] & rehabilitation personnel) in order to set return to work expectations.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Minimum 3 years experience in similar Return to Work, safety or claims management role. 3 year(s): Return to Work, Safety or Claims Management Role.
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ResponsibilitiesManage all aspects of the Med-Only Workers' Compensation claim processes assigned to the Insurance Carrier/TPA across multiple jurisdictions including, but not limited to, claim reporting, medical management, reserving, communications, return to work, and closures.
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Adjudicate medical only and complex lost time claims involving medical, legal and vocational rehabilitation issues in order to allow injured employees to return to work as soon as medically feasible.
Full-timeRemoteExpandApply NowActive JobUpdated 27 days ago - UpvoteDownvoteShare Job
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Communicate with associates and managers, as needed, regarding the information needed to process claims and regarding work-related restrictions and return to work and serve as primary contact for associates and managers regarding any workers compensation related questions.
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Serve as a gatekeeper of health services, rehabilitation, return-to-work, and case management. Coordinate with the Company’s Worker Compensation Third Party Administrator (TPA) and file necessary Worker Compensation claims.
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Work with the TPA claims adjusters to ensure proper and efficient handling of Workers Compensation, Auto Liability, and General Liability claims. Provide thorough follow-up with injured employees and maintain regular contact with TPA and Primary Treating Physicians to coordinate prompt return to work modified duty program.
$80,000 - $100,000 a yearExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Responsible for assisting the administration of the workers' compensation program including injury intake, processing claims, determining appropriateness of claims, coordinating return to work and maintaining and updating case records.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Coordinate all workers' compensation management including, compliance with requirement of state workers' compensation regulations, reporting all cases that require outside medical care to third part administrator (TPA), imitation of internal case management on workers' compensation claims.
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Schedule and or perform health assessments and evaluation of team members for return-to-work, fitness for duty, and medical surveillance in accordance with Pilgrim's health management, and safety protocols and the authorized physicians written directives.
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The Site Safety Manager will direct, oversee and manage all aspects of the Xanitos safety program including but not limited safety training, compliance, accident/near miss reporting, accident investigation, root cause analysis, the return to work process, safety observations, safety accountability, safety culture, safety engagement and safety recognition.
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Under general guidance of the Benefits and Workers’ Compensation Administrator, the Workers' Compensation Coordinator ensures timely processing of workers’ compensation claims; evaluates the completed first report of injury to determine accuracy and completeness and to ensure adequate investigations; ensures that each employee’s claim is handled with excellent customer service and accuracy for effective loss management.
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Work with our 3rd party administrator Sedgwick, CVS Workers' Compensation Analysts and the Reasonable Accommodations team to track and coordinate restricted duty claims for CVS to facilitate the injured colleagues return to full duty.
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tpa compensation claims return to work jobs
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