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The Aspen Group (TAG)

Workers Compensation Specialist

УдалённоUnited States только
Опубликовано
Роль
Поддержка
Опыт
Мидл
Занятость
Полная занятость
Размер компании
Крупная
$70k–$80k/yr
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Коротко по делу

Специалист по компенсациям работникам (Workers Compensation) с минимум 2 лет опыта в администрировании претензий/клеймов, умеющий вести мультиштатную программу удалённо. Требуются опыт работы с RMIS и Microsoft Office, навыки взаимодействия с страховщиками и сторонними подрядчиками. Роль удалённая, предназначена для кандидатов, способных управлять претензиями по нескольким штатам США.

Ключевые навыки

Workers' Compensation claims administrationRMISWorkers Compensation

Обязательные навыки

Loss controlSafety trainingClaims reportingMicrosoft OfficeClaims data analysisRisk Management Information Systems (RMIS)Claims Management

Желательные навыки

History of implementing programs to positively impact claim costs

Чем предстоит заниматься

  • Act as a liaison within the company and with customers
  • Facilitates workers’ compensation claim activities and develops strategies to optimize claim management procedures
  • Works with Manager, Owners, and Company Management to develop and implement programs addressing negative trends
  • Review and manage all incident reports from initial report through closure
  • Determine need to report claims to carrier for handling
  • Payroll and claims reporting for Monopolistic states
  • Communicate directly with employees while explaining the claim process
  • Coordinate return to work program with HR, medical providers, management, and third parties
  • Provide direction and management to third parties to resolve claims cost-effectively
  • Process injured workers' treatment and billing as treatment is obtained
  • Ensure proper handling of claims and gathering of claims data
  • Facilitate claim reviews with third parties and carriers
  • BLS annual reporting to states
  • Manage Workers' Compensation policy retention and updates
  • Attend claim related meetings
  • Maintain internal claim files
  • Compile, review, and analyze reports to identify trends
  • Understand and communicate claims management philosophy and strategy
  • Report applicable Urgent Care events and claims to insurance carrier(s)
  • Create and maintain data in information systems or databases
  • Build and manage relationships with third parties, carriers, outside counsel
  • Support safety training, loss control, and risk projects; promote loss prevention strategies
  • Facilitates workers’ compensation claim activities and develops strategies to optimize claim management procedures to drive better claim outcomes.
  • Works closely with the Manager, Owners, and Company Management to develop and implement programs to address negative trends identified through the review of reports.
  • Review and manage all incident reports for employee and patient incidents from initial report through conclusion/closure.
  • Determine need to report claims to carrier for handling.
  • Communicate directly with employees in a professional and courteous manner while explaining the claim process.
  • Coordinates return to work program working closely with HR business leads, medical providers, management, and third parties to enhance participation.
  • Provide direction and management to third parties to facilitate resolving all claims quickly and cost effectively.
  • Be available for processing of injured workers treatment and billing as treatment is obtained.
  • Ensures proper and efficient handling of claims; gathering of claims data and information.
  • Facilitates claim reviews with third parties and carrier for Workers’ Compensation claims reviews.
  • BLS annual reporting to states.
  • Manage Workers' Compensation policy retention and updates based on entity changes.
  • Attends claim related meetings.
  • Maintain internal claim files.
  • Compiles, reviews, and analyzes reports to identify trends.
  • Understandsand communicates claims management philosophy and strategy.
  • Report all applicable Urgent Care events and claims to the insurance carrier(s).
  • Create and maintain data in information systems or databases.
  • Builds, maintains, and manages relationships with third parties, insurance carriers, outside legal counsel and other claims related parties.
  • Provide support in assessing areas to address related to Safety Training and Loss Control.
  • Assist in safety training and provide input on safety issues/concerns
  • Supports risk projects and initiatives.
  • Promotes loss prevention strategies.

Что требуется

  • College degree preferred or greater than two years of claims experience
  • Minimum 2 years of experience as a claims analyst, administrator or similar function
  • Ability to lead a multi-state program involving remote employees
  • Customer service experience
  • Ability to investigate and direct the claims management process
  • Proficiency with Microsoft Office
  • Proficiency with Risk Management Information Systems (RMIS)
  • Strong organizational skills
  • Strong written and verbal communication skills
  • College degree preferred or greater than two years of claims experience.
  • Minimum 2 years of experience as a claims analyst, administrator or similar function.
  • Must demonstrate ability to effectively lead a multi-state program involving employees who are not on-site at the same location.
  • Customer service experience.
  • Ability to investigate and direct the claims management process.
  • Must possess strong organizational skills.
  • Must possess strong communication skills, both written and verbal.
  • History of implementing programs to positively impact claim costs a plus.
  • Displays technical and professional expertise in claims management and loss prevention
  • Ability to adapt to changing priorities
  • Communicates effectively and collaborates
  • Takes initiative, solves problems, analyzes issues and drives for results
  • Displays honesty and integrity
  • Ability to maintain confidentiality
  • Ability to read and interpret regulatory rules and regulations
  • Strong presentation skills
  • Time management skills

Преимущества

  • Bonus incentives
  • Paid time off
  • Health, dental, vision insurance
  • 401(k) savings plan with match
  • generous benefits package
  • health
  • dental
  • vision

The Aspen Group (TAG) is one of the largest and most trusted retail healthcare business support organizations in the U.S. and has supported over 20,000 healthcare professionals and team members at more than 1,300 health and wellness offices across 48 states in four distinct categories: dental care, urgent care, medical aesthetics, and animal health.

HealthcareКрупная
$70k–$80k/yr