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Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical Leave Act (FMLA), Group health and workers compensation claims.
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Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations.
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Collaborate with the risk management team on workers' compensation claims, ensuring compliance with safety protocols and offering appropriate light-duty options in line with medical restrictions.
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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 - Part-Time. Surveillance Investigators perform discreet mobile and stationary surveillance of Claimant to confirm current activities and capabilities to assist with the administration of an Insurance claim.
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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.
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Unemployment & Workers’ Compensation: Work with our third-party HR team to facilitate responding to unemployment claims and managing workers’ compensation claims in order to keep tax rates and premiums as low as possible.
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The Senior Workers Compensation Claims Specialist will handle single and multi-party personal or commercial line Workman’s Compensation claims of moderate to high exposure and complexity within specific authority limits, to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims service.
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AmTrust Financial Services, a fast growing commercial insurance company, has an immediate need for a Workers’ Compensation Claims Supervisor. Note, this is a remote role and commercial Workers' Compensation claims handling experience required.
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Claims Adjuster - Workers Compensation | Meridian, ID. PRIMARY PURPOSE OF THE ROLE: To analyze mid to high-level Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
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Currently, we seek a part-time Associate to work with our growing Long Beach office in the defense of statewide workers' compensation claims. REQUIREMENTS: CA licensed candidates with 5 - 10+ years of experience handling all aspects of defending workers' compensation claims.
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Helps the Safety Director in the management of the Drug and Alcohol program, in ensuring company compliance with 'Entering the Work Zone' program and in the management of Workers' Compensation claims.
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The Nurse CARE Manager coordinates timely, appropriate, quality, occupational illness/injury care and follow-up to ensure early return to work and to minimize workers' compensation losses.
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Handles claims and other functional work involving one or more lines of business other than property (i.e. auto, workers compensation, premium audit, underwriting) may be required.
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MRG Exams is a leading provider of Independent Medical Evaluations (IME) and Permanent Partial Impairment Ratings (PPIR) services for the Ohio Bureau of Workers' Compensation (BWC), third-party administrators, Managed Care Organizations (MCOs), and employers.
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6+ years New Jersey Workers' Compensation claims experience. Effectively supervise, lead, motivate, and provide direction to a workers' compensation unit adjusters and support staff.
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