Description
Insurance Claims Workers Compensation Medical - Port St Lucie, FL
Workers Compensation Insurance Claims Representative Adjuster Examiner Workers Workers' Comp _ .
REMOTE WORK FROM HOME AVAILABLE
Seeking track record with active indemnity claims involving time lost from work and medical to manage and adjust complex, higher dollar Workers' Compensation claims in an independent manner according to state regulations and company best practices standards.
*** Conduct initial claim reviews with appropriate parties, including but not limited to employer, claimant, and medical providers.
*** Develop and recommend claim strategies.
*** Recommend care management strategies, coordinate rehabilitation or medical management, process bills, and monitors progress when appropriate.
*** Maintain files and continuing review and referral of submitted documents, evidence, records, and reports for sensibility and accuracy, including but not limited to compensability assessments and controversy reviews.
*** Attend to possible fraud including coordinating with state and local authorities and appropriate third parties as warranted.
*** Work with defense counsel on disputed claims.
*** Regularly review files regarding medical treatment status, return to work status, job search activity; settlement interest, and subsidy coordination of benefits.
*** Provide general support to attorneys for hearing purposes, settlements, case appeals, and other claim actions.
*** Determine reserves and adjustments, ensure justification and report to all relevant parties.
*** For authorized expenditures, implement payments and offsets.
*** Communicate with Second Injury Funds, Funds for Reopened Cases, excess insurance carriers, third party liability settlements, etc. for appropriate and timely third party reimbursement.
According to Melissa Obleada, the "Best Places to Work" lead with their mission, hire A+ people, invest in their employees, practice what they preach about work and life balance, encourage employees to pursue their professional and personal passions, embrace visibility, transparancy and accountability, and set lofty goals and high expectations. We believe you will find this a "Best Place to Work".
High-growth position with major company in professional world. Included in your compensation package are full family health coverages (medical, dental, and vision), disability insurance, tuition reimbursement, company matched 401(k), life insurance, employee assistance program, flexible spending accounts, and much more.
For complete details contact Greg Foss at:
(609) 584-9000 ext 270
Or submit resume online at:
http://dmc9.com/gbf/app.asp
Or email to:
1000057199_10006796@najbcareers302.com
Please reference #428181FL225 when responding