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    Claims Examiner - Long Beach, United States - Cynet Systems

    Cynet Systems
    Cynet Systems Long Beach, United States

    3 weeks ago

    Default job background
    Description
    Job Description:

    Pay Range $40hr - $42hr

    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 defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.
    • Maintains professional client relationships.
    #monsterit
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