Job Description
- Job Description:
- Review claim assignments to determine policy coverage and compensability
- Conduct interviews and research facts of a claim
- Establish rapport with stakeholders throughout the recovery process
- Analyze medical records and determine compensability
- Propose vocational support when appropriate
- Identify and document subrogation potential
- Comply with Medicare Secondary Payor requirements
- Periodically assess claim file reserves and risk factors
- Execute technical claim handling functions
- Engage in direct negotiation and mediation according to jurisdiction
- Participate in continuing education opportunities
- Requirements:
- High school diploma required; Bachelor’s degree preferred
- 5+ years of general work experience
- 10+ years of workers’ compensation claims handling experience
- Meet state licensing requirements to handle claims
- Within 1 year of hire, complete the Workers’ Recovery Professional (WRP) certification program
- Within 3 years of hire, complete the Senior Workers’ Compensation Law Associate (SCLA) designation program
- Proficient knowledge of insurance, medical and legal concepts
- Benefits:
- Annual incentive compensation
- Medical, dental, vision & life insurance
- Accident, critical Illness & short-term disability insurance
- Retirement plans with employer contributions
- Generous time-off program
- Programs designed to support the employee well-being and financial security.
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