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Claims Specialist

2 months ago

Seattle, Washington, United States TAJ Technologies Inc Full time
Claims Representative Key Responsibilities
  • Process low-level workers compensation claims, determining compensability and benefits due, and ensuring reserve accuracy
  • Develop and coordinate action plans to resolution, return-to-work efforts, and approve claim payments
  • Administer assigned claims, determine benefits due, and administer action plans pursuant to the claim or client contract
  • Communicate claim actions with claimants and clients
  • Maintain professional client relationships
Requirements
  • Bachelor's degree from an accredited college or university preferred
  • Two years of claims management experience or equivalent combination of education and experience required
  • Excellent oral and written communication skills, including presentation skills
  • PC literate, including Microsoft Office products
  • Strong analytical and interpretive skills
  • Good interpersonal skills
  • Ability to work in a team environment
Essential Functions and Responsibilities
  • Process low-level workers compensation claims, determining compensability and benefits due, and ensuring reserve accuracy
  • Develop and coordinate action plans to resolution, return-to-work efforts, and approve claim payments
  • Administer assigned claims, determine benefits due, and administer action plans pursuant to the claim or client contract
  • Communicate claim actions with claimants and clients
  • Maintain professional client relationships
Skills and Knowledge
  • Developing knowledge of regulations, offsets, and deductions, disability duration, medical management practices, and Social Security and Medicare application procedure
  • Excellent oral and written communication skills, including presentation skills
  • PC literate, including Microsoft Office products
  • Strong analytical and interpretive skills
  • Good interpersonal skills
TAJ Technologies Inc

At TAJ Technologies Inc, we are committed to providing our clients with exceptional service and support. Our team of experienced professionals is dedicated to helping our clients navigate the complex world of workers compensation claims

Language

English

Location

Remote