Workers' Compensation Claims Examiner

2 weeks ago

Columbia, United States Amergis Full time

Amergis, formerly known asMaxim Healthcare Staffing, has served our clients and communities by connectingpeople to the work that matters since 1988. We provide meaningful opportunitiesto our extensive network of healthcare and school-based professionals, ready towork in any hospital, government facility, or school. Through partnership andinnovation, Amergis creates unmatched staffing experiences to deliver the bestworkforce solutions.

The Claims Examiner of Workers Comp understands and participates in every aspect of the WC claim process. Working in a team approach, the Claims Examiner WC will make decisions concerning reserve adjustments, develop a plan of action, and determine the appropriate settlement value. The Claims Examiner of Workers Comp also works with the In-take Coordinators, Claims Examiners, WC Manager and fellow Amergis co-workers at every level of the business.

Essential Duties and Responsibilities:

+ Manages and resolves workers compensation files

+ Participates in and leads conference calls with local offices, third-party administrators (TPAs), medical providers, attorneys, and other Amergis team members

+ Monitors TPAs file resolution plans

+ Ensures legal deadlines are met

+ Represents Amergis in depositions, mediation, and conference calls regarding assigned claim files

+ Provides, reviews and comments on the financial aspects of assigned claims files

+ Educates branch offices about all aspects of Workers Compensation

+ Provides excellent customer service to injured employees

+ Prepares WC claim reports for review by department management team

+ Reviews, identifies and provides recommendations for maintaining control and/or reducing the claims experience (loss history) of the company

+ Assists Manager in achieving overall department goals

+ Performs other duties as assigned/necessary

Minimum Requirements:

+ College degree preferred; or equivalent work experience

+ Five to Seven years of Workers Compensation experience preferred

+ Some legal experience strongly preferred

+ Good organizational skills and attention to detail

+ Ability to work independently and cooperatively in a team environment

+ Ability to communicate effectively and provide excellent customer service with individuals at all levels of the organization

+ Computer proficiency, including Microsoft Office applications, required

+ Prior experience performing internet research

+ Ability to effectively elicit/provide information to and from appropriate individuals (including, but not limited to, supervisors, co-workers, clients) via strong communication skills; proficiency in the English language is required

+ Flexible work hours such that over time can be worked if needed

At Amergis Healthcare Staffing, wefirmly believe that our employees are the heartbeat of our organization and weare happy to offer the following benefits:

Medical/Prescription,Dental, Vision, Health Advocacy (company paid if enrolled Medical), HealthAdvocate Employee Assistance Program, Health Savings Account , 401(k), 401(k)Company Match, Profit Sharing, Short Term Disability, Long Term Disability,Primary Caregiver Leave, Parental Leave, Life and Basic Accidental Death andDismemberment Insurance, Voluntary Life and Accidental Death and DismembermentInsurance, Hospital Expense Protection Plan, Critical Illness Insurance,Accident Insurance, Dependent Care Flexible Spending Account, Home and AutoInsurance, Pet Insurance, MilkStork, Transportation Benefit, EducationalAssistance Program, College Partnership Program, Paid Time Off/Company Holidays

*Benefit eligibility is dependent onemployment status.

AmergisHealthcare Staffing is an equal opportunity/affirmative action employer. Allqualified applicants will receive consideration for employment without regardto sex, gender identity, sexual orientation, race, color, religion, nationalorigin, disability, protected Veteran status, age, or any other characteristicprotected by law.

This posting willremain active on job boards for 5 days from date of posting unless there is agood faith basis to extend the posting date.

Please note thatthis pay range represents a good faith estimate of the compensation that willbe offered for this position based on the circumstances. The actual pay offeredto a successful candidate will take into account a wide range of factors,including but not limited to location, experience, and other variable factors.

"Pursuant tothe San Francisco Fair Chance Initiative, Amergis will consider for employmentqualified applicants with arrest and conviction records"

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