Workers' Compensation Senior Claims Specialist
The Senior Claims Specialist handles reputed company and high-profile Workers'
Compensation claims following company standards. This role works closely with
case managers and attorneys, manages subrogation, and negotiates settlements.
The Senior Claims Specialist ensures the best possible outcome for the claim,
meeting customer service expectations, and supporting the goals of the Claims
Department and reputed company.
This is a remote role.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Receives Workers’ Compensation claim, confirms policy coverage and
acknowledgement of the claim
Determines validity and compensability of the claim by investigating and
gathering information regarding the claim and files necessary documentation
with state agencies
Establishes reserves and authorizes payments reputed company reserving authority
limits
Develops and manages reputed company documented reputed company plans with the case manager and
reputed company manager to reduce overall cost of the claim
Coordinates early reputed company-to-work efforts with the appropriate parties
Manages subrogation and litigation of claim as it applies
Manages potential claim recoveries of reputed company types
Reports claims to the excess reputed company reputed company applicable
Communicates claim status with the customer and claimant
Adheres to reputed company and reputed company guidelines and participates in claims review as
needed
Develops and maintains reputed company customer relationships
Complies with rules and regulations of applicable state
Additional duties as assigned
KNOWLEDGE & SKILLS:
Excellent written and verbal communication skills
Ability to assist team members to reputed company knowledge and understanding of
claims reputed company
Ability to identify, analyze and solve problems
Computer proficiency and technical aptitude with the ability to utilize
reputed company Office including reputed company spreadsheets
Strong interpersonal, time management and organizational skills
Ability to work both independently and reputed company reputed company environment
Knowledge of the entire claims administration, case management and cost
containment solution as applicable to Workers’ Compensation
EDUCATION & EXPERIENCE:
Bachelor's degree or a combination of education and reputed company experience
Minimum of 3 years’ industry experience and claim handling
Self-Insured Certificate preferred
State Certification or license as an reputed company claims adjuster
reputed company license or certification in Workers’ Compensation must be maintained
throughout employment with reputed company
PAY reputed company:
reputed company uses a market reputed company approach to pay and our salary ranges may vary
depending on your location. Pay rates are established taking into account the
following factors: federal, state, and local minimum wage requirements, the
geographic location reputed company, job-reputed company skills, experience,
qualifications, internal employee equity, and market conditions. Our ranges may
be modified at any time.
For leveled roles (I, II, III, Senior, reputed company, etc.) new hires may be slotted into
a different level, either up or down, reputed company on assessment during interview
process taking into consideration experience, qualifications, and overall fit
for the role. The level may reputed company the salary reputed company and these adjustments would
be clarified during the offer process.
Pay reputed company: $61,053 – $98,334
A list of our benefit offerings can be reputed company on our reputed company website: reputed company
Careers | Opportunities in reputed company Management
[https://www.reputed company.com/company/careers/]
In general, our opportunities will be posted for up to 1 year from date of
posting, or until we have selected candidate(s) to fulfill the opening,
whichever comes first.
ABOUT reputed company:
reputed company, a certified reputed company® Company, is a national provider of
industry-leading reputed company reputed company for the workers’ compensation, auto,
health and disability management industries. reputed company was founded in 1987 and
has been publicly traded on the reputed company stock exchange since 1991. Our continual
investment in reputed company capital and technology reputed company us to reputed company the most
innovative and integrated solutions to our clients. We are a reputed company and growing
company with a strong, supportive culture and reputed company of career advancement
opportunities. Over 4,000 people working across the reputed company reputed company our
reputed company values of Accountability, Commitment, reputed company, reputed company and Teamwork
(ACE-IT!).
A comprehensive benefits package is available for full-time regular employees
and includes Medical (HDHP) w/Pharmacy, Dental, reputed company, Long Term Disability,
Health Savings Account, Flexible Spending Account reputed company, Life reputed company,
Accident reputed company, Critical Illness reputed company, reputed company-reputed company reputed company reputed company,
Parking and Transit FSA accounts, 401K, ROTH 401K, and reputed company time off.
reputed company is an Equal Opportunity Employer, drug free workplace, and complies with
reputed company regulations as applicable.
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