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Senior Workers Compensation Claims Examiner Jobs

Workers Compensation Claims Examiner(%100 Remote)
By Synectics Inc. At San Francisco Bay Area, United States
Five (5) years of claims management experience or equivalent combination of education and experience required
Coordinates vendor referrals for additional investigation and/or litigation management.
Refers cases as appropriate to supervisor and management.
SkillsQualifications: Bachelor's degree from an accredited college or university preferred
DescriptionDescription:Analyze complex or technically difficult workers' compensation claims to determine benefits due.
Manages the litigation process; ensures timely and cost effective claims resolution.
Workers' Compensation Claims Examiner
By U.S. Department of Labor At Indiana, United States
Experience applying laws, rules, regulations, policies, and procedures when reviewing claims for benefits
Experience adjudicating highly complex cases for benefits based on evidence.
Experience reviewing reconsideration requests or appeals for benefits.
Requires a probationary period if the requirement has not been met.
Experience making and issuing final decisions that affirm or remand cases for further development
Reviews claimant requests for reconsideration of final decisions with delegated authority to finalize or modify decisions of the initial claims examiner.
Senior Workers Compensation Claims Specialist I/Ii- Eberle Vivian
By Liberty Mutual At , Remote $72,300 - $127,700 a year
Leadership ability and demonstrated time management skills to delegate work appropriately and organize resources effectively.
Manages an inventory of workers compensation claims to evaluate compensability/liability.
Excellent interpersonal skills to communicate and negotiate with customers and conduct investigations required.
Establishes action plan based on case facts, best practices, protocols, regulatory issues and available resources.
Plans and conducts investigations of claims to confirm coverage and compensability.
Performs other duties as assigned.
Workers Compensation Claims Examiner
By US Office of Workers' Compensation Programs At , Washington, 20210 $112,015 - $145,617 a year
If you are relying on your education to meet qualification requirements:
Prepares reports and provides data advising management of new trends in the hearing program.
Requires a probationary period if the requirement has not been met.
Drafting and/or signing final decisions or briefs to claimants who have applied for compensation benefits.
Analyze and interpret legal issue(s) to determine entitlement to workers' compensation benefits under federal laws.
You will be evaluated for this job based on how well you meet the qualifications above.
Claims Examiner - Workers Compensation - Remote
By ASK Consulting At ,
Approves and processes assigned claims, determines benefits due and administers action plans pursuant to the claim or client contract.
Excellent oral and written communication, including presentation skills
Location: United States of America
Expiry Date: 15 September 2023
Develops and coordinates low-level workers' compensation claims' action plans for resolution, and return-to-work efforts, and approves claim payments.
Administers subrogation of claims and negotiates settlements.
Workers Compensation Claims Examiner
By U.S. Department of Labor At Washington, United States
Prepares reports and provides data advising management of new trends in the hearing program.
Requires a probationary period if the requirement has not been met.
Drafting and/or signing final decisions or briefs to claimants who have applied for compensation benefits.
Analyze and interpret legal issue(s) to determine entitlement to workers' compensation benefits under federal laws.
Serves as an Agency's independent authority and representative in reviewing claims and rendering appellate level decisions in classified claims.
Serves as the primary point of contact for Federal agencies on workers' compensation claims that contain classified information.
Claims Examiner Workers Compensation - Remote
By ASK Consulting At , Sun Prairie
Experience: Five (5) years of claims management experience or equivalent combination of education and experience required.
Education & Licensing: Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.
Coordinates vendor referrals for additional investigation and/or litigation management.
Refers cases as appropriate to supervisor and management.
Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level.
Senior Workers' Compensation Claims Adjuster
By County of Contra Costa, California At , $93,396 - $113,523 a year
We offer a hybrid remote work schedule
Why join the Contra Costa County Department of Risk Management?
An Effective Communicator. You will need to possess strong verbal, written, and listening skills
You will be expected to manage multiple assignments with competing deadlines
Knowledgeable in Workers Compensation Claims.
Adaptable. You will need to adjust easily to varied and changing priorities in a fast-paced environment
Senior Property Examiner Jobs
By Athens Administrators At , Remote $82,700 - $110,200 a year
Strong time management and project management skills
Prepare comprehensive reports as required. Identify and communicate specific claim trends and account and/or policy issues to management.
Maintain licenses and continuing education requirements in all states.
Knowledge of contractual/policy law and commercial property insurance policies. Experience in reviewing Condo By-Laws and Condo Rules and Regulations
Document and manage claims (i.e.: record statements, update diaries, write reports) from inception to closure.
Large loss commercial claim handling and oversight experience. Facilitate communication between claimants, clients and brokers for resolution of claims.
Claims Examiner - Workers Compensation
By Sedgwick At Pennsylvania, United States
Apply your examiner, knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.
Professional certification as applicable to line of business preferred.
Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.
Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
Workers' Compensation Claims Examiner - Triage Unit
By ICW Group At , Lisle, 60532, Il
Excellent verbal and written communication skills, time management and organizational skills.
Manages and approves payment of benefits within designated authority level.
Refers cases as appropriate to supervisor and management.
Minimum 1 year of insurance or claims related experience; or equivalent combination of education and experience required.
Assesses claims fairly and equitably, acting in the best interest of all parties and providing benefits as prescribed by law.
High school diploma or general education degree (GED) required.
Compensation Claims Examiner - Remote | Wfh
By Get It Recruit - Healthcare At Long Beach, CA, United States

Are you a seasoned Workers' Compensation Claims professional with a passion for helping people navigate through challenging times? Are you eager to be a part of a dynamic and supportive team that ...

(Remote) Claims Examiner - Workers Compensation
By Sedgwick At Texas, United States
Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.
Professional certification as applicable to line of business preferred.
Opportunity to work in a remote or agile environment.
Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.
Claims Examiner - Workers Compensation
By Mindlance At United States
•Experience of 5 years of claims management experience or equivalent combination of education and experience required.
•Coordinates vendor referrals for additional investigation and/or litigation management.
•Refers cases as appropriate to supervisor and management.
•Analyze complex or technically difficult workers' compensation claims to determine benefits due.
•Ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements.
•Manages the litigation process; ensures timely and cost effective claims resolution.
Claims Examiner - Workers Compensation
By Sedgwick At Florida, United States
Apply your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.
Professional certification as applicable to line of business preferred.
Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.
Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
Senior Claims Examiner - Workers Compensation
By Broadspire At Minneapolis, MN, United States
Analyzes claims activity and prepares reports for clients/carriers and management.
Analyzes claims activities and prepares reports for clients, carriers and/or management. Participates in claim reviews.
Advanced analytical and problem solving skills, with the ability to manage and prioritize multiple projects.
We are seeking candidates with experience handling WC claims in MN and WC !
Manages all aspects of investigative activity on complex claims. Directs the discovery and litigation strategy with legal counsel.
Bachelor's degree or equivalent experience.
Workers Compensation Claims Examiner
By TheBest Claims Solutions At Folsom, CA, United States

3+ years of experience handling Workers Compensation claims

Experience Handling Claims in California

Facets Claims Examiner - Remote
By NTT DATA Services At Philadelphia, PA, United States
Confirm to the required regulatory and compliance requirements such as the HIPAA.
Confirm to the organizational and client training requirements
Demonstrate knowledge of internal operations and develops relationships to facilitate workflow.
Knowledge of related regulations and standards.
3+ years of full cycle claims processing experience in a Health Plan setting (Pay, Pend, Deny)
1+ year of experience processing claims in Facets
Claims - Express Claims Examiner
By The Cincinnati Insurance Companies At Fairfield, OH, United States
Customer service experience or prior management or leadership experience beneficial.
Knowledge or experience with Microsoft® Office and Excel preferred.
Deliver an excellent customer service experience through telephone and e-mail communication.
Accurate and efficient keyboarding skills.
Excellent written and verbal communication skills.
Prior experience in an office setting either fully in-office or hybrid helpful.
Claims Examiner Jobs
By Paramount Health Care At Toledo, OH, United States
Responsible for providing workers’ compensation third party administration claims management to Stated-Funded and self-insured employers.
·Participates in other departmental activities as directed by the department manager/director.
1. Previous workers’ compensation experience.
2. Knowledge of medical and legal terminology.
·Assist legal counsel in preparation of Workers’ Compensation cases and attendance at Workers’ Compensation Hearings if necessary.
·Participate in monthly/quarterly claim review with Employers providing detailed reports and claim reviews.