- UpvoteDownvoteShare Job
- Suggest Revision
The successful candidate will have multiple state licenses, past Medical Director experience, understand Workers Compensation laws throughout the US, and know various state Workers Compensation treatment guidelines.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Description: PRIMARY PURPOSE: 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.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Availability for conversation with client Medical Directors, assisting in auditing cases where necessary, and reviewing areas of dispute in more complex cases. It is the responsibility for all of us to maintain a positive working environment that promotes client satisfaction and results.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Workers Compensation Claims Examiner (3 years of California WC experience) Category Name: Claims Examiner - Workers Compensation. Claims Examiner - Workers Compensation (1248943.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Communicates claim activity and processing with the claimant and the client; maintains professional client relationships. Coordinates vendor referrals for additional investigation and/or litigation management.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Manages the litigation process; ensures timely and cost effective claims resolution. Must have SIP Certification. Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
NOTE: Credit security clearance, confirmed via a background credit check, is required for this position. Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Maintaining an uninterrupted internet connection is a requirement of all work from home position. Computer literacy and typing skills are essential. A Medical Degree from a recognized university and board certification in a specialty.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner. Ensures claim files are properly documented and claims coding is correct. MSP Contact: Animesh Singh.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Education & LicensingBachelor's degree from an accredited college or university preferred. ExperienceFive (5) years of claims management experience or equivalent combination of education and experience required.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
WORK ENVIRONMENTWhen applicable and appropriate, consideration will be given to reasonable accommodations. Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Management retains the discretion to add or to change the duties of the position at any time. The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description.
ExpandApply NowActive JobUpdated Today
workers compensation complex client jobs
FEATURED BLOG POSTS
How to Maximize Action Verbs in Your Resume
Writing a resume that stands out takes more than using keywords and savvy formatting. It’s not just about having an impressive list of accomplishments. It’s also about how you position them using action verbs and deliberate word choice. So if you are looking for a way to craft a resume that stands out and gets calls back? Start by sprucing up your resume with captivating action verbs.
What is Your Desired Job Title?
You’ve decided to look for a new job. So now comes the question — what is your desired job title? There are lots of considerations to think through when deciding on the right title for your next role.
4 Things to Consider When Building a Global Workforce
The rise of remote work has given employers a unique chance to rethink how they approach workforce management. This ranges from rethinking the size and design of their office space to updating their tech stack to accommodate different working styles. It has created new opportunities for companies of all sizes to expand their hiring pool and look for top talent on a global scale.
Operations Job Titles for Entry, Mid, and Senior-Level Positions
An operations team can take on many functions within a business. With wide-ranging responsibilities come wide-ranging job titles. This means that you have to be more vigilant in your job search. On one hand, the perfect job might be hidden under a title you might not expect. Meanwhile, operations titles that you’re used to looking at may mean something different at a given organization depending on their structure.
How to Automate Your Job Search
The internet is ripe with career professionals urging you to be aggressive in your networking and application strategies to land a job. But at what expense? Your sanity? Peace of mind? Energy? Free time? When the job search gets overwhelming—as it inevitably will—leverage automation to take the most tedious tasks off your plate. Here are seven ways to do it.Â
How To Request Accommodations at Work (According to Someone Who’s Done It)
Doing a job for eight hours a day, five days a week is exhausting for anyone. But for those with a disability or chronic pain, it can be especially taxing—something must change. Asking for reasonable accommodations at work can feel tricky, especially if you’re new to the job. Under the Americans with Disabilities Act (ADA), physical disabilities, health conditions, and symptoms of mental health are all valid workplace accommodations. When you request accommodations, it means that your condition is impacting your ability to perform at work.
How to Successfully Make a Career Change in the New Year
The beginning of a new year is often a time for reflection and introspection. Millions of people use this time to come up with new resolutions to help them live happier and healthier lives. Pursuing our career ambitions is among the top five, right up there with exercising more and eating better.