Claims Adjuster - Elgin, IL, United States - Diedre Moire Corp.

Description

Insurance Claims Workers Compensation Medical - Elgin, IL

Workers Compensation Insurance Claims Representative Adjuster Examiner Workers Workers' Comp _ .


REMOTE WORK FROM HOME AVAILABLE

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.

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

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• Develop and recommend claim strategies.

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

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• 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.

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

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• Work with defense counsel on disputed claims.

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• Regularly review files regarding medical treatment status, return to work status, job search activity; Provide general support to attorneys for hearing purposes, settlements, case appeals, and other claim actions.

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

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.

Or submit resume online at:
Bachelor DegreeMinimum Experience Requirements: 2-5 years

Job City Location:

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. Workers Compensation Insurance Claims Representative Adjuster Examiner Workers Workers' Comp #DiedreMoire #InsuranceJobs #ClaimsRep #WorkersComp #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting

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.

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.

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