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Carworks Jobs & Careers

25 Jobs Found

Identify and review cases to ensure eligibility for BWC surplus fund services Request BWC “readiness and eligibility” Serve as liaison between company and BWC rehabilitation representatives on eligibility issues Maintain database on efforts......
- Maintain established workflows - Sort and deliver information - Data enter information into CWMM and route appropriately - Gather and provide non-clinical information internally/externally - Maintain tracking and filing systems - Identify issues a......
Duties: - Completes data entry of ADR information into ADR database and claims system accurately and timely per ADR policies - Prepares ADR files based on ADR policies in a consistent and timely fashion - Maintains timeliness of performance benchmar......
Responsible for timely and accurately processing of assigned ADRs and orders per ADR policies and standards Assists with organization of medical information by preparing file for physician review/IME per departmental standards Complete “ADR Mi......
Maintain customer satisfaction by serving as support for the absence management operations. Provide customer service to claimant by documenting absence information, Compiling and/or gathering information, communicating absence and return to wo......
Serve as primary contact for client by managing leave of absence administration (FMLA, STD, LTD) as determined by client contract. Communicate thoroughly with client and claimant on all aspects of claims process either by phone or written corresp......
- Maintain customer satisfaction by serving as primary contact for designated group of employers to ensure customer satisfaction and retention. - Verify and follow up to ensure remain at work ability for an injured worker with a light duty return or......
Maintain customer satisfaction by serving as primary contact for designated group of employers to ensure customer satisfaction and retention. Verify and follow up to ensure remain at work ability for an injured worker with a light duty return or ......
Provide medical guidance and support to a team of Case Specialists in accordance with Company and BWC policies and procedures Evaluate, authorize and deny treatment authorization requests in accordance with Company and BWC policies and procedures......
In accordance with Chapter 8 of the MCO Policy Reference Manual, identify inpatient hospital bills to be reviewed and conduct detail hospital bill audits. Adhere to turnaround time and performance requirements established in the Policy. Consul......
Assess, plan, implement, coordinate, monitor, and evaluate options and services to meet an injured worker’s health and return-to-work needs by collaborating with the injured worker, family members, provider, employer or employer’s representative and......
Serve as primary contact for client by managing leave of absence administration (FMLA, STD, LTD) as determined by client contract. Communicate thoroughly with client and claimant on all aspects of claims process either by phone or written corresp......
- Serve as primary contact for client by managing leave of absence administration (FMLA, STD, LTD) as determined by client contract. - Communicate thoroughly with client and claimant on all aspects of claims process either by phone or written corres......
- In accordance with Chapter 8 of the MCO Policy Reference Manual, perform prospective inpatient hospital bill reviews and retrospective detail hospital bill audits. - Consult with providers regarding in audit findings review and work with providers......
In accordance with Chapter 8 of the MCO Policy Reference Manual, perform prospective inpatient hospital bill reviews and retrospective detail hospital bill audits. Consult with providers regarding in audit findings review and work with providers ......
Continually analyze workers’ compensation claims in order to produce a plan of action that will yield the best financial outcome for the customer Initiate and implement workers’ compensation cost control strategies for a designated group of Ohio ......
Serve as primary contact for client by managing leave of absence administration (FMLA, STD, LTD) as determined by client contract. Communicate thoroughly with client and claimant on all aspects of claims process either by phone or written corresp......
Serve as primary contact for client by managing leave of absence administration (FMLA, STD, LTD) as determined by client contract. Communicate thoroughly with client and claimant on all aspects of claims process either by phone or written corresp......
- Support the Group Support department with daily tasks. - Communicate professionally on the phone with clients to provide quotes and information about company services provided. - Ability to meet quotas on number of outbound calls made- approx. 100......
Performs medical bill coding reviews of hospital and professional services in support of appropriate reimbursement and contract compliance. - In accordance with Chapter 8 of the MCO Policy Reference Manual, perform prospective inpatient hospital bil......