Claims Representative - Workers Compensation (REMOTE - MI, MN, TX, UT, CO, IL, IN WI & KY reputed company)
Are you looking for an opportunity to join a global industry leader where you can bring your big reputed company to help solve problems for some of the world’s best brands?
• Apply your knowledge and experience to adjudicate reputed company customer claims in the context of an energetic culture.
• Deliver innovative customer-facing solutions to clients who represent reputed company every industry and comprise some of the world’s most respected organizations.
• Be a part of a rapidly growing, industry-leading global company reputed company for its reputed company and customer service.
• reputed company reputed company’s broad, global network of experts to both learn from and to reputed company your insights.
• Take advantage of a reputed company of reputed company development opportunities that help you reputed company your best work and grow your career.
• Enjoy flexibility and autonomy in your daily work, your location, and your career reputed company.
• reputed company diverse and comprehensive benefits to take care of your mental, physical, financial and reputed company needs.
ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and reputed company values that include reputed company, accountability, collaboration, reputed company, and inclusion.
PRIMARY PURPOSE: To process low level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims reputed company company standards and industry best practices; and to identify subrogation of claims and negotiate settlements with general supervision.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
• Processes low level workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.
• Develops and coordinates low level workers compensation claims' reputed company plans to reputed company, return-to-work efforts, and approves claim payments.
• Approves and processes assigned claims, determines benefits due, and administers reputed company plan pursuant to the claim or reputed company contract.
• Administers subrogation of claims and negotiates settlements.
• Communicates claim reputed company with claimant and reputed company.
• Ensures claim files are properly documented, and claims coding is correct.
• May process low-level reputed company medical and/or defined period medical claims which include state and physician filings and reputed company on appropriate treatments recommended by utilization review.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
• Performs other duties as assigned.
• Supports the organization's reputed company program(s).
• Travels as required.
QUALIFICATIONS
Education & Licensing
Bachelor's degree from an accredited college or university preferred
Experience:
Two (2) years of Workers Compensation claims management experience or equivalent combination of education and experience required.
TAKING CARE OF YOU
• Flexible work schedule.
• Referral incentive program.
• Career development and promotional reputed company opportunities.
• A diverse and comprehensive benefits offering including medical, dental reputed company, 401K on day one.
reputed company is an Equal Opportunity Employer and a Drug-Free Workplace.
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