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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.
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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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Workers Compensation Claims Examiner (3 years of California WC experience) Category Name: Claims Examiner - Workers Compensation. Claims Examiner - Workers Compensation (1248943.
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Coordinates vendor referrals for additional investigation and/or litigation management. Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
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We are seeking an experienced workers compensation adjuster toprovide front-line customer-focused handling of lost time complex claims for an assigned market. Leverage your industry experience and join our expanding team in thisWorkers Compensation Claims Adjusterrole.
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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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Market-driven compensation and bonus plan. Our team does their best work each day, creating a one-stop resource for all commercial insurance solutions and construction safety resources, leading to powerful results.
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Availability for conversation with client Medical Directors, assisting in auditing cases where necessary, and reviewing areas of dispute in more complex cases. Maintaining an uninterrupted internet connection is a requirement of all work from home position.
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Additional Preferred Skills: Experience in Visual Basic and Access for legacy application migration is a plus Experience with the healthcare industry and workers' compensation is a plus. Responsible for designing, coding, testing, and debugging robust and complex database-driven applications using C#, WCF, MVC, Razor and T-SQL, with Visual Basic and Access experience a plus for legacy application migration.
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Excellent documentation skills in order to plan, create, track and sustain software engineering work. Experience with ASP.NET MVC framework using (Razor syntax is a plus) Excellent programming skills in C# and T-SQL, with at least 4-6 years' experience.
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Computer literacy and typing skills are essential. A Medical Degree from a recognized university and board certification in a specialty, We care for our customers, each other and Dane Street. Dane Street is looking for an Associate Medical Director to serve the needs of one of our larger clients.
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Location: King of Prussia, PA (Remote till Covid) Education Required: Bachelors Degree or Equivalent Work Experience. At least 7 years of development experience writing software products and/or services.
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Application developers are responsible for designing and coding new applications as well as enhancing and supporting existing applications. Ability to work the full life-cycle of a software development project.
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Present exceptional communication skills with a clear understanding of company business lines. Business experience in a healthcare and/or insurance setting is preferred. Dane Streets success relies on individual and team contributions every day.
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Cloud Azure a must. If you know of anyone in your sphere of contacts, who would be a perfect match for this job then, we would appreciate if you can forward this posting to them with a copy to us. Excellent communication skills and the ability to work across multiple teams.
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