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Basic knowledge of NCCI workers’ compensation classificationsStrong organizational skills with demonstrated ability to work independently and deal effectively with multiple tasks simultaneously.
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Key Responsibilities:Manage all aspects of employee leave programs, including but not limited to FMLA (Family and Medical Leave Act) ADA (Americans with Disabilities Act) accommodations, Paid time off (PTO) Sick leave, Maternity/paternity leave, Military leave, Bereavement leave and Workers Compensation.
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Job Description:Our client continues to grow and currently seeking to add a Senior Workers Compensation Claims Specialist that would have the ability to work remotely.
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The claim involves moderate to complex litigation issues IW has returned to work, reached Maximum Medical Improvement (MMI), and has PPD. File litigated to dispute the permanency rating and/or causality.
$63,700 - $105,100Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments. Great Place to Work®Most Loved Workplace® Forbes Best-in-State EmployerWorkers Compensation Claims Adjuster | Long Beach, CA (Hybrid)PRIMARY PURPOSE: To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements.
$77,602 - $85,000 a yearFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Communicates with internal managed care and medical resources to ensure coordination with medical providers, injured workers and employers in developing return to work strategies and treatment plans.
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The Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and negotiate settlements to ensure specific customer service requirement to achieve the best possible outcome in the claim, supporting the goals of claims department and of CorVel.
$56,860 - $91,580 a yearFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Independently handles assigned claims of low to moderate complexity where Wage loss and the expectation is a return to work to modified or full duty or obtain MMI with no RTW. There are no litigated issues or minor to moderate litigated issues.
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The Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and negotiate settlements to ensure specific customer service requirement to achieve the best possible outcome in the claim, supporting the goals of claims department and of CorVel.
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Handle work related injuries, workers' compensation issues and work related/non-work related return to work programs; Participate in case management meetings and may provide documentation and testimony in litigation cases.
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Communicates effectively both verbal and written with medical professionals, claims adjuster, client, vendor, supervisor and other parties as needed to negotiate, coordinate appropriate medical care and effective return to work plans utilizing critical thinking skills, clinical expertise and other resources needed to achieve an optimal case outcome.
$88,000 - $100,000 a yearFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements.
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Manage Workers' Compensation claims with lost time to conclusion and negotiate settlements where appropriate to resolve claims. Work in collaboration with specialty resources (i.e. medical and legal) to proactively pursue claim resolution opportunities, (i.e. return to work, structured settlement, and discontinuation of benefits through litigation.
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Conduct complex incident investigations, manage workers compensation process, and return to work program. + Communicate EH&S related requirements and expectations to other departments and personnel to ensure regulatory compliance and a safe work environment.
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The Workers' Compensation Claims Specialist is responsible for managing and processing claims related to workplace injuries or illnesses for a nationwide Professional Employer Organization (PEO.
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workers compensation complex return to work jobs
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