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Collaborates with key Senior Leadership (Claims/Medical Management, Underwriting, Premium Audit, Finance, Legal) to refine and maintain SIU best practices and processes to prevent, detect, investigate and ensure timely reporting of suspected fraudulent activity.
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More than six (6) years of Workers' Compensation claims management experience. The Risk Management Department is recruiting for a Principal Workers' Compensation Adjuster to assign and review the work of lower-level Adjusters and perform audits for quality assurance and staff development.
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Required ExperienceRequired:RN licenseBachelors DegreeA minimum of 5+ years healthcare risk management experience Minimum of 5+ years of experience in a leadership role with direct reports CPHRM required Preferred:Masters degreePrior experience with workers compensation program management.
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The Workers Compensation Claims Specialist will handle single and multi-party personal or commercial line Workmans Compensation claims of moderate to high exposure and complexity within specific authority limits, to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims service.
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Litigation management experiencePrior experience handling 1st and 3rd party Commercial auto physical damage claims, Bodily injury claims, Commercial General Liability, litigated and non-litigated claims.
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AmTrust has an immediate need for a Workers' Compensation Claims Adjuster II. Responsible for the prompt and efficient examination, investigation and settlement or declination of insurance claims through effective research, negotiation and interaction with insureds and claimants, ensuring that company resources are utilized in a cost effective manner in the process.
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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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Collaborating across disciplines and business units, including: the office of general counsel overseeing errors & omissions issues arising from claims handling, the Brandywine (run-off) team, the Bermuda claims team and in-house coverage counsel team.
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This individual will serve as a member of our Senior Leadership Team and work collaboratively with fellow Claims, Medical Management, Underwriting, Premium Audit, Finance, and Legal leadership to leverage resources and drive innovative approaches to reduce company losses.
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Representing the Special Compensation Fund in workers’ compensation litigation at the Office of Administrative Hearings and Workers’ Compensation Court of Appeals.
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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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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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Administer Ohio worker’s compensation self-insured claims per Ohio BWC standards. + Track the receipt of the appropriate paperwork for all claims, set up claim files, and enter information into the Risk Management Information System (RMIS) upon receipt.
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Experience in any of the following disciplines a plus – CNA, Medical Assistant, Physical Therapy Aide, Workers’ Compensation, Medical Unit Claims Administrator, IME Coordinator, Medical Office Manager.
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Ensure workers' compensation claims are properly documented and reported. Responsibilities include overseeing benefits administration, employee relations, internal communications, team member career development, wage and hour compliance, training programs, workers' compensation, and legal matters pertaining to resort employees.
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workers compensation claims office management jobs Company: Allied Universal in Vienna, West Virginia
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