drjobs Specialist WC Claims Support

Specialist WC Claims Support

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1 Vacancy
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Job Location drjobs

Mount Laurel, NJ - USA

Monthly Salary drjobs

$ 25 - 36

Vacancy

1 Vacancy

Job Description

Holman is a family-owned global automotive services organization anchored by our deeply rooted core values and principles that have enabled us to continue Driving Whats Right throughout the last century. Our teams deliver the Holman Experience by treating our customers and each other as we would like to be treated and creating positive rewarding relationships all around.

The automotive markets Holman serves include fleet management and leasing; vehicle fabrication and upfitting; component manufacturing and productivity solutions; powertrain distribution and logistics services; commercial and personal insurance and risk management; and retail automotive sales as one of the largest privately owned dealership groups in the United States.

Principal Purpose of Position:

  • Assisting with maintenance of drug screen results.

  • Direct Handling of non-complex claims.

  • Uploading and maintaining the electronic files upon request from the WC team.

  • Pulling the Concentra notes daily distributing them and posting to the file

  • Communicating the reserve changes as received

  • Pulling the new FROIs and saving to RK (Riskonnect RIMS system)

  • Claim Reviews: Managing the list the schedule and distributing updates. Ensuring a smooth process.

  • Adding the Carrier Claim Review summaries to RK.

  • Ordering/Managing referrals: mainly for social media checks and med canvasses. Once the med canvass is in evaluating the hits communicating that to Liberty and following up for the receipt and status of the records.

  • Assisting with medical record review and summaries for the team.

  • Reporting claims to all carriers.

  • Payroll Requests: Requesting wages and transposing onto the appropriate form.

  • For employees on partial benefits obtaining wages on a biweekly basis evaluating them and sending them to the adjuster to pay partial. Setting a diary to be on top of this.

  • Requesting updates from Leaves department on open cases.

  • Following up on any open subrogation cases.

  • Pulling pre-hire physicals out the system and saving to RK

  • Keeping the Approved Clinic List and preferred doctor list current in RK.

  • Assisting Team with clinic check ins tied to both post-accident and pre-hire physicals.

  • Billing Issues: When outstanding bills are presented by an employee calling the provider and providing the correct billing info so that WC is billed.

  • Handling the WC postings.

  • Managing the Chain of Custody forms. Making sure we have a supply stamping them sending them out to the location upon request and keeping a spreadsheet of when and where they are sent.

  • Directly handling some of the backup clinic check ins - on a yearly basis.

  • Assist with updating our forms in Nitro.

  • Pull loss runs and update RK with the reserves on non-Liberty cases.

  • Perform all other duties and special projects as assigned.

Education and/or Training:

  • High school diploma required. Four-year college degree or demonstrated equivalent experience as determined by department management preferred but not required.

Relevant Work Experience:

  • 2 years workers compensation claims management experience.

  • AIC CPCU or SCLA certifications preferred or ability to obtain.

.

Planning/Organizing/Managerial Knowledge:

  • Understanding of applicable statutes and regulations.

  • Advanced knowledge of MSapplications especially Word Excel PowerPoint.

  • Knowledge of Zoom and Microsoft Teams.

  • Demonstrate ability tosolve problems and operate in a fast paced multi-task environment independently.

  • Ability to organize and prioritize tasks and make appropriate decisions on a daily basis.

  • Adapts department plans and priorities to address business and operational challenges.

  • Experience with a Risk Management Information System (RMIS) a plus.

Communicating & Influencing Skills:

  • Strong verbal and written communication skills. Ability tocommunicate effectively with colleagues in various departments andgeographical locations including all levels of management as well as employees.

  • Ability to prioritize organize and direct multiple internal and external team players towards a common plan of action and ensure the plan is executed.

Physical requirements:

  • Requires working primarily in office setting standing sitting walking bending twisting and stooping.

  • Local travel to assist specialists and safety with accident investigations is possible.

#LI-MG1

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INDMISC

At Holman we exist to provide rewarding careers and better lives for employees and their families. We hire train empower and reward exceptional people. Our journey is guided by our desire to get it right every time and the acknowledgement that we have an opportunity to be better. To be better we have to do better and to do better we must know better. Thats why we are listening open to learning new things about ourselves and each other. We will never stop striving for improved diversity equity and inclusion because we are successful together when we feel trusted and supported. Its The Holman Way.

At Holman your total compensation goes beyond your paycheck. To position you for success and provide a rewarding career and better life for you and your family Holman is proud to offer you the benefits you deserve; including protection against illness disability loss of work or preparation for retirement. Below is a brief overview of the programs available to full-time employees (programs may vary by country or worker type):

  • Health Insurance
  • Vision Insurance
  • Dental Insurance
  • Life and Disability Insurance
  • Flexible Spending and Health Savings Accounts
  • Employee Assistance Program
  • 401(k) plan with Company Match
  • Paid Time Off (PTO)
  • Paid Holidays Bereavement and Jury Duty
  • Paid Pregnancy/Parental leave
  • Paid Military Leave
  • Tuition Reimbursement

Benefits:

Regular Full-Time

We offer excellent benefits including health vision dental life and disability insurance and 401(k) with company match. Our time off benefits include Paid Time Off (PTO) paid holidays bereavement and jury addition we offer paid pregnancy and parental leave and supplemental paid military leave to eligible employees.

Temporary or Part-Time

In geographic areas with statutory paid sick leave part-time and temporary employees will receive a paid sick leave benefit that meets the mandated requirements.

Pay:

We offer competitive wages that are commensurate with job-related skills experience relevant education or training and geographic location starting in the range of $25.15 - $36.47 USD per hour.

Artificial Intelligence Statement

To maintain the integrity and authenticity of our hiring process we kindly request that all candidates refrain from using artificial intelligence (AI) tools to generate assist with or enhance any part of their application materials (including resumes cover letters written and verbal responses and images) or during any stage of the interview process. We value genuine original work that reflects your personal experience skills and communication style. As part of our commitment to a fair and transparent evaluation process please be advised that we may use technology to detect AI-generated content submitted by candidates. Candidates found to have used AI assistance in violation of this policy may be disqualified from consideration.

Equal Opportunity Employment and Accommodations:

Holman provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race color religion age sex national origin disability status genetics protected veteran status sexual orientation gender identity or expression or any other characteristic protected by federal state or local laws.

If you are a person with a disability needing assistance with the application process please contact

This policy applies to all terms and conditions of employment including recruiting hiring placement promotion termination layoff recall transfer leaves of absence compensation and training.


Required Experience:

IC

Employment Type

Full-Time

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