JOB DESCRIPTION
Review of industry workers compensation claims and determine compensability
File all required workers compensation forms timely
Oversee medical management and investigations of claims
Calculate payroll and compensation payment based on set guidelines
Serve as liaison and interface with Comp nurse and claimant as part of the review process
Assign cases for investigations and review progress
Prepare workers compensation claim for long-term disability
Ability to evaluate the degree of disability and scheduled loss value
Maintains professional relationship with all appropriate parties involved with the claim.
Refers cases as appropriate to management.
Actively executes appropriate claims activities to ensure consistent delivery of quality claims service.
Develops and manages claims through well-developed action plans; continues to work the action plan to bring the claim to an appropriate and timely resolution
Analyzes and processes workers compensation claims by investigating and gathering information to determine the exposure on the claim
Communicate with company representative regarding claims management.
Perform other duties and special assignments as necessary
Required Experience Skills and Qualifications
A four-year college degree preferred.
A minimum of 3 years of experience as workers compensation examiner required
Extensive knowledge of NYS Disability and Workers Compensation laws
Excellent interpersonal organizational and communication skills
Working knowledge of Microsoft Word & Excel
Must be able to work independently and collectively
Familiarity with claim reserve
Must possess the ability to make sound judgment
Strict confidentiality
This is a full-time onsite 35 hours per week position. Days and hours of work are Monday through Friday 8:30AM-4:30PM
Required Experience:
IC
JOB DESCRIPTIONReview of industry workers compensation claims and determine compensabilityFile all required workers compensation forms timelyOversee medical management and investigations of claimsCalculate payroll and compensation payment based on set guidelinesServe as liaison and interface with Co...
JOB DESCRIPTION
Review of industry workers compensation claims and determine compensability
File all required workers compensation forms timely
Oversee medical management and investigations of claims
Calculate payroll and compensation payment based on set guidelines
Serve as liaison and interface with Comp nurse and claimant as part of the review process
Assign cases for investigations and review progress
Prepare workers compensation claim for long-term disability
Ability to evaluate the degree of disability and scheduled loss value
Maintains professional relationship with all appropriate parties involved with the claim.
Refers cases as appropriate to management.
Actively executes appropriate claims activities to ensure consistent delivery of quality claims service.
Develops and manages claims through well-developed action plans; continues to work the action plan to bring the claim to an appropriate and timely resolution
Analyzes and processes workers compensation claims by investigating and gathering information to determine the exposure on the claim
Communicate with company representative regarding claims management.
Perform other duties and special assignments as necessary
Required Experience Skills and Qualifications
A four-year college degree preferred.
A minimum of 3 years of experience as workers compensation examiner required
Extensive knowledge of NYS Disability and Workers Compensation laws
Excellent interpersonal organizational and communication skills
Working knowledge of Microsoft Word & Excel
Must be able to work independently and collectively
Familiarity with claim reserve
Must possess the ability to make sound judgment
Strict confidentiality
This is a full-time onsite 35 hours per week position. Days and hours of work are Monday through Friday 8:30AM-4:30PM
Required Experience:
IC
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