Claims Adjuster - Workers Compensation - 100% Remote
| Verified Pay check_circle | Provided by the employer$32 per hour |
|---|---|
| Hours | Full-time, Part-time |
| Location | Bartlesville, Oklahoma |
Compare Pay
Verified Pay check_circleProvided by the employer$11.22
$16.57
$32.00
About this job
Job Description
BCForward is currently looking for Claims Adjuster - Workers Compensation - 100% Remote
Position: Claims Adjuster - Workers Compensation
Location: Remote
Duration: 1 Months of contract
Pay-rate: $32.00/Hr. on W2
Required: License Required in these states any one to include in reciprocity: AL, AR, FL, GA, IA, IL, IN, KS, KY, MI, MN, MO, MS, NC, NE, OK, SC, SD, TN, WI
Job 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.
Qualifications:
QUALIFICATIONS
License Required in these states any one to include in reciprocity: AL, AR, FL, GA, IA, IL, IN, KS, KY, MI, MN, MO, MS, NC, NE, OK, SC, SD, TN, WI
Education & Licensing
Bachelor's degree from an accredited college or university preferred.
Experience
Four (4) years of claims management experience or equivalent combination of education and experience required.
Skills & Knowledge
- 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
Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward’s 6,000 consultants support more than 225 clients globally.
BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class places to work.
BCforward is an equal opportunity employer.
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