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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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As a Field Counsel you will represent the company and its policyholders in civil litigation and workers' compensation matters involving claims for money damages or compensation for personal injury or property damage of a moderate value with moderately complex legal issues.
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A Law Clerk - Workers' Compensation is responsible for competent, ethical, and diligent representation of AmTrust North America and its policy holders in all assigned cases including preparation of pleadings, motions, pre-trial discovery, trial, arbitration and appellate work.
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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. Initiate the referral to the SIU of cases with suspected fraud.
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Aggressively pursue subrogation from culpable third parties, contributions on multiple defendant cases, and apportionment when there is pre-existing disability. In accordance with applicable statutes and in keeping with company rules, regulations, and established performance objectives, is responsible for effectively managing to conclusion an assigned inventory of claim files that may include cases of extreme complexity or with unique or unusual issues.
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Litigation management - Direct, manage, and control the litigation process. Form a partnership with the medical case manager to maximize early return to work potential thereby reducing the need for extended disability payments, vocational rehabilitation, and other protracted claims costs.
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Review all medical bills for appropriateness prior to referral to InterMed for payment and posting to the claim file. Review and approve all vocational rehabilitation plans. Exhibit and maintain a courteous and helpful attitude and project a professional image on behalf of the company.
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Thoroughly and accurately document ongoing case facts and relevant information necessary for establishing compensability, the need for disability payments, the use of vendors, medical and expense payments, and what is being done to move the case toward closure.
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Reports directly to the unit Claims Supervisor and may be called upon to provide technical backup in the absence of the Claims Supervisor. Assure that all assigned indemnity claims have an up to date plan of action outlining activities and actions anticipated for ultimately resolving the claim.
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Handles other duties and tasks as deemed appropriate by the Supervisor or Manager. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Perform a three-point contact on all new losses within 24 hours of receipt of the claim to include the claimant, employer, and treating physician to document relevant facts surrounding the incident itself as well as disability and treatment status.
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Active study for the IEA Certificate and Self-Insured Certificate, and successful completion of, or active study for the WCCP designation, or the equivalent in related studies or work experience. The requirements listed below are representative of the knowledge, skill, and/or ability required.
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Bachelor's degree (B. A.) from four-year college or university; at least seven years related experience and/or training; or equivalent combination of education and experience. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
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Assure that the claim file is handled totally in accordance with applicable statutes as well as in-force service contracts and company guidelines. Education and/or Experience. Essential Duties and Responsibilities.
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Establish, monitor, and adjust monetary case reserves when warranted and in strict accordance with assigned authority levels. Respond to telephone messages and inquiries within 24 hours of receipt and to written inquiries within one week of receipt.
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BCM Law, P.C. was founded in 1997 with a vision to provide skilled and aggressive defense for Employers and Insurers for complex legal matters such as Workers’ Compensation Defense, Civil Litigation Defense, Insurance Law, and Employment Law. We represent clients from our offices in Chicago, Bloomington/Normal and St. Louis, MO.
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workers compensation complex cases jobs
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