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Specialty Operations Workers' Comp Claims Examiner Job
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| Employer Name: InsurCrossing |
SpiderID: 2303277 |
| Location: Dublin, Ohio |
Date Posted: 6/21/2008 |
| Wage: |
Category: Insurance |
| Job Code: |
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Job Description:
Description CLAIM YOUR FUTURE AS A GREAT PERFORMER! Continuing double-digit revenue growth rates and progressive employment practices make Sedgwick Claims Management Services the place where great people can do great things for clients while maximizing their career possibilities. We have earned a reputation for innovation, quality, sustained growth, financial stability and a colleague-friendly work environment. We are proud to have been voted the Best TPA in America for 2005 and 2006, and the first and only Third Party Administrator to receive the coveted Employer of Choice designation. Come be a part of our team and Claim Your Future. PRIMARY PURPOSE: To analyze low- and mid-level workers compensation claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices.ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: Adjusts medical-only claims and low- to mid-level lost-time workers compensation claims under close supervision. Supports other claims staff with larger or more complex claims as necessary. Processes workers compensation claims reviewing compensability, benefits due, and files necessary documentation with state agency. Communicates claim action/processing with appropriate parties including, but not limited to: claimant, client, state agency, managed care organization and appropriate medical contact. Ensures claims files are properly documented and claims coding is correct. Maintains professional client relationships. Coordinates actuarial/settlement issues impacting employers with rate and settlement departments. Supports the Total Performance Management initiative. Qualifications Education & Licensing: High School diploma or GED required. Licenses as required. Experience: Eighteen (18) months claims management experience required. Skills & Knowledge: Excellent oral and written communication skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Good interpersonal skills Ability to work in a team environment Ability to meet or exceed Performance Competencies Sedgwick CMS is an Equal Opportunity Employer and a Drug-Free Workplace Profile Job Field Claims Professional Locations OH-Dublin Schedule Full-time when applying say you found this position on AkronDiversity.com
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Job Criteria:
Start Date:
Position Type: Full-Time Permanent
Years of Experience Required:
Education Required:
Overnight Travel:
Vacation Time:
Contact Information:
| Contact Name: - |
Company Type: Employer |
| Company: InsurCrossing |
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| City: Pasadena |
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| State: California |
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| Zip: |
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Web Site: http://www.insurcrossing.com
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