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Workers’ Compensation Claims Examiner

Prexel LLC
  • Washington, DC
  • $25–$30 Per Hour
  • Contractor
  • Quick Apply
1 day ago

Job Description

Workers’ Compensation Claims Examiner

Location: Washington, DC
Schedule: Monday–Friday, 8:30 AM–5:00 PM ET
Hours: Up to 40 hours/Week
Work Environment: Office setting

Job Responsibilities

Job Responsibilities:

·       Review and process workers’ compensation claims.

·       Investigate claims and determine eligibility and benefits.

·       Review medical records and claim documentation.

·       Evaluate treatment, work restrictions, and return-to-work options.

·       Communicate with employees, providers, supervisors, and other stakeholders.

·       Maintain accurate claim records and documentation.

·       Manage assigned caseloads and follow required procedures.

·       Prepare claim decisions, notices, and correspondence.

·       Support hearings, mediations, and settlement activities.

·       Protect confidential medical and employment information.

Numbers & Facts

LocationWashington, DC
Job TypeContractor
Salary$25–$30 Per Hour
Company Size11 - 50
Year Founded2020
HeadquartersSheridan, WY, US
Websitehttps://prexelllc.com/

Qualifications

Qualifications:

·       Bachelor’s degree with 2 years of workers’ compensation claims experience, or 8 years of claims experience including 3 years in workers’ compensation.

·       Knowledge of workers’ compensation claims and regulations.

·       Ability to review medical information and make claim decisions.

·       Experience with hearings, mediations, or settlements.

·       Knowledge of medical terminology.

·       Strong communication and analytical skills.

·       Proficiency with Microsoft Office and claims management systems.

Skills

  • Workers’ Compensation Claims
  • Claims investigation
  • Claims Adjudication
  • Claims Processing
  • Medical Records Review
  • Claim Evaluation
  • Case Management
  • BENEFITS ADMINISTRATION
  • Claim Documentation
  • Legal & Regulatory Compliance

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