Insurance Claims Specialist - Workers Compensation Medical - Tampa, FL

  • Free
  • Published date: May 22, 2019
    • Florida, United States

Seeking track record with active indemnity claims involving time lost from work and medical to manage and adjust complex, higher dollar Workers Compensation claims in an independent manner according to state regulations and company best practices standards.

Conduct initial claim reviews with appropriate parties, including but not limited to employer, claimant, and medical providers.

Develop and recommend claim strategies.

Recommend care management strategies, coordinate rehabilitation or medical management, process bills, and monitors progress when appropriate.

Maintain files and continuing review and referral of submitted documents, evidence, records, and reports for sensibility and accuracy, including but not limited to compensability assessments and controversy reviews.

Attend to possible fraud including coordinating with state and local authorities and appropriate third parties as warranted.

Work with defense counsel on disputed claims.

Regularly review files regarding medical treatment status, return to work status, job search activity; settlement interest, and subsidy coordination of benefits.

Provide general support to attorneys for hearing purposes, settlements, case appeals, and other claim actions.

Determine reserves and adjustments, ensure justification and report to all relevant parties.

For authorized expenditures, implement payments and offsets.

Communicate with Second Injury Funds, Funds for Reopened Cases, excess insurance carriers, third party liability settlements, etc. for appropriate and timely third party reimbursement.

According to Melissa Obleada, the "Best Places to Work" lead with their mission, hire A+ people, invest in their employees, practice what they preach about work and life balance, encourage employees to pursue their professional and personal passions, embrace visibility, transparency and accountability, and set lofty goals and high expectations. We believe you will find this a "Best Place to Work".

High-growth position with major company in professional world. Included in your compensation package are full family health coverages (medical, dental, and vision), disability insurance, tuition reimbursement, company matched 401(k), life insurance, employee assistance program, flexible spending accounts, and much more.

For complete details contact Greg Foss at:
(609) 584-9000 ext 270

Or submit resume online at:
dmc9.com/gbf/app.asp

Or email to:
1000038881_10006796 AT jobbank302.com

Please reference #38655248 when responding.

Education Requirements: Bachelor Degree
Minimum Experience Requirements: 2-5 years
Job City Location: Tampa
Job State Location: FL
Job Country Location: USA
Salary Range: $80,000to $120,000

Diedre Moire Corporation, Inc.
Diedremoire_dot_com

WE ARE AN EQUAL OPPORTUNITY EMPLOYER and our employment decisions are made without regard to race, color, religion, age, sex, national origin, handicap, disability or marital status. We reasonably accommodate individuals with handicaps, disabilities and bona fide religious beliefs. Jobs Career Position Hiring. CONSIDERED EXPERIENCE INCLUDES: Claims Adjuster Claims Examiner Claims Specialist Insurance Only Medical Workers Compensation Medical Claims #DiedreMoire #ClaimsJobs #InsuranceJobs #WorkersComp #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting

DISCLAIMER: We will make every effort to consider applications for all available positions and shall use one or more of the contact methods and addresses indicated in resume or online application. Indicated location may be proximate or may be desirable point of embarkation for paid or unpaid relocation to another venue. Job descriptions may fit single or multiple presently available or anticipated positions and are NOT an offer of employment or contract implied or otherwise. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers. Linguistics used herein may use First Person Singular and First Person Plural grammatical person construction for and with the meaning of Third Person Singular and Third Person Plural references. We reserves the right to amend and change responsibilities to meet business and organizational needs as necessary. Response to a specific posting or advertisement may result in consideration for other opportunities and not necessarily the incentive or basis of the response. Nothing herein is or may be considered a promise, guarantee, offer, pledge, agreement, contract, or oath.

If you submit an application or resume which contains your email address, we will use that email address to communicate with you about this and other positions. We use an email quality control service to maintain security and a remove and dead address filter. To cancel receiving email communications, simply send an email from your address with the word "remove" in the subject line to pleaseremove_AT_candseek4.com Or, visit the website at jobbankremove_dot_com. If you have further concern regarding email received from us, call (609) 584-5499.

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