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To analyze 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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Determines benefits due, makes timely claims payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. PRIMARY PURPOSE: To process claims and determine benefits due pursuant to a disability plan; to make timely payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets; and to ensure the ongoing processing of claims.
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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.
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Knowledge of major insurance coverage's including General Liability, Commercial Automobile, Workers Compensation, Products Liability, Commercial Property, Umbrella. Ability to independently handle renewals by obtaining renewal information, preparing underwriting submissions, preparing proposals, and sending to clients and/or meeting with clients as directed by client advisor.
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As our Director of Specialty Bill Review Services, you will maximize savings and client satisfaction by providing strategic direction for Rising's Specialty Services unit involving complex/large medical claims; analyzing and optimizing bill review procedures and systems; and leading a team of experienced medical bill review auditors, nurse auditors, med-legal nurse, negotiators and related staff in an environment of continual performance improvement.
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Keep informed on issues and trends relating to Healthcare, Workers Compensation, Bill Review, Cost Containment, Managed Care, and related areas. Minimum five years of financial analysis/business, medical claims adjusting background preferably in Workers Compensation with progressive management responsibility.
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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.
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Litigation includes all aspects of civil litigation, including trials and proceedings in all forums, whether at the local, state or federal level, mediation, arbitration, workers' compensation, and administrative proceedings, and any necessary appellate work.
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The candidate will litigate a variety of workers' compensation claims involving high-exposure, complex litigation. Philadelphia office of a BCG Attorney Search Top Ranked Law Firm seeks a workers' compensation associate attorney with 0-4 years of litigation experience.
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You may have or develop areas of specialty practice (e.g. special property, workers` compensation, environmental law, commercial coverage). The AmFam Trial Attorney provides legal representation, either personally or by retaining and supervising outside counsel that handles moderately complex litigation involving either the corporation and its insured within established corporate guidelines and the applicable code of professional responsibility.
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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.
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The Florida Trial Attorney provides legal representation, either personally or by retaining and supervising outside counsel that handles moderately complex litigation involving either us or our insured within established corporate guidelines and the applicable code of professional responsibility.
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PRIMARY PURPOSE: To supervise the operation of multiple teams of examiners and technical staff for workers compensation for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims.
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We specialize in collectingchallenging payments from third-party payers, focusing on complex denials, agedaccounts receivables, motor vehicle accident, workers’ compensation, VeteransAffairs, and out-of-state Medicaid.
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To analyze Workers Compensation Claims 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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workers compensation complex client jobs
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