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Proactively manage the technical aspects of complex and high severity medical and CAT claims for quality outcomes and return to work opportunities under the regular guidance of Complex Claims Supervisor.
$64,000 - $89,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Perform workers' compensation, return-to-work and related programs case management duties; provide information to employees regarding workers; compensation benefits; conduct accident investigations of reported employee and student injuries.
$4,663.8 - $6,589.84 a monthExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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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 - $105Full-timeExpandApply NowActive JobUpdated Today - 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 EmployerClaims Adjuster - Workers Comp (Remote w/ Illinois Exp)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.
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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.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Independently handles all assigned claims up to and including most complex where Injured worker (IW) remains out of work and unlikely to return to position. 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.
$65 - $108Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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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.
$63,700 - $105,100Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Respond to a variety of complex legal questions via written correspondence or telephone in response to inquiries regarding the Workers’ Compensation Law from the Chair, the Board, General Counsel, other departments within the Board, other governmental agencies, claimants, members of the Bar, and the general public.
Starting at $65,001 - $117,875 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Workers Compensation Adjuster III Summary: Reports directly to the unit Claims Supervisor and may be called upon to provide technical backup in the absence of the Claims Supervisor.
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When work-related injuries or diseases occur, we provide compensation and support injured workers in their recovery, rehabilitation, and safe return to work. We partner with workers and employers to save lives and prevent injury, disease, and disability.
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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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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.
TemporaryRemoteExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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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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Review all medical bills for appropriateness prior to referral to InterMed for payment and posting to the claim file. 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.
TemporaryRemoteExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Administers benefit and leave programs; medical, dental, vision, life, AD&D, FMLA/CFRA, COBRA, ACA, leaves, workers’ compensation, return to work programs, retirement programs, annual open enrollment, and other employee benefits.
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