Job Description
Title: Claims Examiner - Workers Compensation (Hourly)
Location: El Dorado Hills, CA 95762
Duration: 3+ months
Description:
PRIMARY PURPOSE: To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.
Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts,and approves claim payments.
Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.
Manages subrogation of claims and negotiates settlements.
Communicates claim action with claimant and client.
Ensures claim files are properly documented and claims coding is correct.
May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.
Maintains professional client relationships.
Performs other duties as assigned.
Supports the organization's quality program(s).
Skills:
Working knowledge of regulations, offsets and deductions, disability duration, medical management practices and Social Security and Medicare application procedure as applicable to line of business
Excellent oral and written communication, including presentation skills
PC literate, including Microsoft Office products
Analytical and interpretive skills
Strong organizational skill
Good interpersonal skills
Excellent negotiation skills
Ability to work in a team environment
Ability to meet or exceed Service Expectations
Education:
Education & Licensing
Bachelor's degree from an accredited college or university preferred.
Location: El Dorado Hills, CA 95762
Duration: 3+ months
Description:
PRIMARY PURPOSE: To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.
Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts,and approves claim payments.
Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.
Manages subrogation of claims and negotiates settlements.
Communicates claim action with claimant and client.
Ensures claim files are properly documented and claims coding is correct.
May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.
Maintains professional client relationships.
Performs other duties as assigned.
Supports the organization's quality program(s).
Skills:
Working knowledge of regulations, offsets and deductions, disability duration, medical management practices and Social Security and Medicare application procedure as applicable to line of business
Excellent oral and written communication, including presentation skills
PC literate, including Microsoft Office products
Analytical and interpretive skills
Strong organizational skill
Good interpersonal skills
Excellent negotiation skills
Ability to work in a team environment
Ability to meet or exceed Service Expectations
Education:
Education & Licensing
Bachelor's degree from an accredited college or university preferred.
Numbers & Facts
| Location | El Dorado Hills, CA |
| Industry | Other/Not Classified |
| Salary | $35–$37.85 Per Hour |
| Company Size | 100 to 499 employees |
| Year Founded | 1998 |
| Website | www.eteaminc.com |
About Company
Looking for a great job? Join eTeam. We’re looking for talented staffing professionals to join our staff. We also provide contract assignments and full-time jobs at Fortune 2000 Companies. We’ve been named one of the best companies to work for by Staffing Industry Analysts and New Jersey Business.
Skills
- Adjudicationunmatched
- Analysis Skillsunmatched
- Applications Securityunmatched
- Best Practicesunmatched
- Claims Codingunmatched
- Claims Managementunmatched
- Claims Processingunmatched
- Compensation and Benefitsunmatched
- Computer Skillsunmatched
- Customer Relationsunmatched
- Develop and Maintain Customersunmatched
- Documentationunmatched
- Industry Standardsunmatched
- Licensingunmatched
- Medical Treatmentunmatched
- Medicareunmatched
- Microsoft Officeunmatched
- Microsoft Product Familyunmatched
- Negotiation Skillsunmatched
- People Managementunmatched
- Presentation/Verbal Skillsunmatched
- Regulationsunmatched
- Subrogationunmatched
- Team Playerunmatched
- Utilization Managementunmatched
- Worker's Compensationunmatched
- Writing Skillsunmatched
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