Workers Compensation Claims Adjuster Job Vacancy in Canon Recruiting Phoenix, AZ – Latest Jobs in Phoenix, AZ
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Company Name : Canon Recruiting
Location : Phoenix, AZ
Position : Workers Compensation Claims Adjuster
Job Description : Workers Compensation Claims Examiners – Long Term Temp to Possible Hire –
PRIMARY PURPOSE:
To analyze mid-level worker’s 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.
RESPONSIBILITIES
Manages worker’s compensation claims determining compensability and benefits due on long-term indemnity claims monitors reserve accuracy, and files necessary documentation with a state agency.
Develops and manages worker’s 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 plans pursuant to the claim or client contract.
Manages the 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.
REQUIREMENTS:
Two to (4) years of claims management experience or equivalent combination of education and experience required.
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
Public entity experience preferred
Analytical and interpretive skills
Strong organizational skills
Good interpersonal skills
Ability to work in a team environment
Ability to meet or exceed Service Expectations
Submit your resume today for immediate consideration!
Job Types: Full-time, Temporary, Contract
Pay: $37.00 – $40.00 per hour
Education:
High school or equivalent (Preferred)
Experience:
Claims: 2 years (Preferred)
Work Location: One location
This post is listed Under Arizona jobs
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