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Workers Compensation Specialist

1 month ago

Virginia Beach, United States TotalMed Medfi Full time
*Workers Compensation Requirements: *

The following information aims to provide potential candidates with a better understanding of the requirements for this role.
* 3+ years of lost time experience
* VA WC Claims Handling experience
* Bachelor’s Degree 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

*Workers Compensation 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.

#INDAS

Job Types: Full-time, Contract

Pay: $40.00 per hour

Expected hours: 40 per week

Benefits:
* 401(k)
* Dental insurance
* Health insurance
* Vision insurance
Schedule:
* 8 hour shift
* Day shift
* Monday to Friday
* Weekends as needed

Application Question(s):
* 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

Education:
* Bachelor's (Required)

Experience:
* lost time: 3 years (Required)
* VA Claims Handling: 3 years (Required)

Location:
* Virginia (Required)

Work Location: Remote