Workers Compensation Claims Specialist
Summary
Title: | Workers Compensation Claims Specialist |
---|---|
ID: | 13938955377706 |
Company: | GMS |
Location: | Richfield |
Job Status: | Full time |
Description
Group Management Services (GMS) is seeking to hire a full time Workers' Compensation Claims Specialist position in the Richfield, OH office.
SUMMARY: This WC Claims Specialist will examine, adjust, and manage claims for client company’s workers compensation benefits.
ESSENTIAL JOB DUTIES AND RESPONSIBILITIES:
For more information please visit our website at www.groupmgmt.com
Group Management Services is an Equal Opportunity Employer
SUMMARY: This WC Claims Specialist will examine, adjust, and manage claims for client company’s workers compensation benefits.
ESSENTIAL JOB DUTIES AND RESPONSIBILITIES:
- Review employee injury reports to determine compensability.
- Examine workers' compensation claim forms.
- Advise employers on the proper management and impact of workers' compensation claims. Explain operation of alternate "light work" programs.
- Consult with medical staff (Managed Care Organization) and legal counsel regarding claims activity.
- Facilitate surveillance services for GMS clients through vendors.
- Prepare Handicap Reimbursement Letters and represent employer on phone hearings.
- Maintain a claim diary for all active claims either on a bi-weekly or monthly update.
- Notify GMS Account Managers of possible HR issues that may arise from a worker’s compensation claim.
- Provide correspondence on outcomes of BWC orders and/or in Industrial Commission orders to clients.
- Closely monitor claims medical, indemnity, and reserve costs to address claim maximum values.
JOB QUALIFICATIONS:
- Education- a 4 year College Degree
- Experience- 1-2 years experience in medical billing or insurance claims experience. Self insured experience preferred.
- Strong communication and mathematical skills
- Must be proficient in Excel
COMPENSATION/BENEFITS
- Compensation based on experience
- Benefits – Medical, Dental, Vision, 401(k), Short Term Disability, Long Term Disability, Tuition Assistance, PTO
- Great work/life balance – Flex time after 90 days
For more information please visit our website at www.groupmgmt.com
Group Management Services is an Equal Opportunity Employer
This opening is closed and is no longer accepting applications