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LANGUAGE ABILITY : Able to read, analyze, interpret and advise regarding complex governmental regulations, legal opinions, claims laws and regulations, technical claims processes and procedures relating to fraud detection/prevention, and medical billing and reports.
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Under the direction and supervision of the Regional Workers' Compensation Manager, West Region workers compensation and return to work claims as assigned. California Workers Compensation Claims Administration certification.
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The Workers' Compensation Claims Adjuster (Lost Time) reviews, analyzes, investigates, makes liability decisions and approves the release of benefit payments up to authorized levels on initial, continued and reopened claims.
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W orkers Compensation Self-Insurance Program : Direct the administration of first-party workers' compensation claims, including reporting, investigation, analysis, litigation management, and resolution.
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May handle claims and other functional work involving one or more lines of business other than property (i.e. auto, workers compensation, premium audit, underwriting) may be required in support of customer service including Pre-Claim Consultation.
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Under moderate supervision, this position is responsible for determining the best resource to properly resolve claims in unstaffed or remote regions nationwide (e.g.; desk adjustment, referral to Travelers staff adjuster or Independent Adjuster.
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Performs other duties in support of the Catastrophe Response such as outbound contact calls, secondary claim severity triage, coordination of emergency services for claims assigned to other adjusters, fax and e-mail processing, mentoring of Enterprise Response Team members, etc.
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Recognizes when to refer claims to Special Investigations Unit and/or Subrogation Unit. Handles claims involving first party property investigation, evaluation, estimating and negotiation to ensure optimal claim resolution for building damage with some personal property and business personal property claims of low, medium to high severity and complexity.
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May act as the liaison between SBD and Third-Party Administrators for the Tupelo Workers Compensation claims. Join our top-notch team of more than 50,000 diverse and high-performing professionals globally who are making their mark on some of the world's most beloved brands, including DEWALT, BLACK+DECKER, CRAFTSMAN, STANLEY, CUB CADET, and HUSTLER.
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CFR also publishes Foreign Affairs , the preeminent magazine on global issues, and provides up-to-date information about the world and U.S. foreign policy on its award-winning website, CFR.org.
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Administer Ohio worker’s compensation self-insured claims per Ohio BWC standards. + Actively track open claims and interface with Miller Pipeline’s insurance carriers, physicians, and other third parties to ensure that claims are being managed aggressively.
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Minimum of ten years’ experience in private practice or as in-house counsel, working in the insurance litigation field, with substantial experience handling workers’ compensation claims, required.
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Join our dynamic organization leading and overseeing SFM's in-house insurance defense law firm overseeing a team of attorneys, paralegals, and administrative assistants inspiring a sense of service excellence and providing high-quality legal advice to all clients defending Workers' compensation claims/lawsuits.
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The Human Resource Team is responsible for providing comprehensive support to the Company's retail stores, distribution center, and business office in the areas of: employee relations, training, recruitment, payroll, compensation, and benefits administration, leaves of absence, workers' compensation, safety, liability, and loss prevention.
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Examples include employee and labor relations, payroll, recruitment, workers' compensation; reviews and writes grievance-related and employee action responses, EEOC and DFEH claims; represents the school in hearings; serves as the point of contact and subject matter expert for UCPath and administrator for Tracker I-9; represents the school in Workers' Compensation proceedings; and works with Risk Management on transitional return to work actions and requests for workplace accommodations.
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workers compensation claims foreign language jobs Company: Allied Universal in Vienna, West Virginia
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