Workers' Compensation Claims Specialist

1 month ago


Le Mars, Iowa, United States Wells Enterprises Full time
Job Summary

As a Workers' Compensation Specialist at Wells Enterprises, you will play a critical role in ensuring the timely and accurate processing of Workers Compensation claims. This position requires strong analytical and communication skills, as well as the ability to work effectively with internal and external stakeholders.

Key Responsibilities
  • Gather and submit claim information to the Third-Party Administrator (TPA) in a timely and accurate manner.
  • Provide supplementary claim information to the TPA, including wages, return to work status, and medical provider information.
  • Manage communication between parties involved in the claim, including medical providers, operations personnel, the TPA, and the injured employee.
  • Attend quarterly file review meetings and other claim meetings as required.
  • Manage discovery requests for litigated claims.
  • Run claim reports and conduct analysis for internal and external parties as necessary.
  • Manage the pharmacy program and employee mileage reimbursement.
Requirements

To be successful in this role, you will need strong analytical and communication skills, as well as the ability to work effectively in a fast-paced environment. Experience with Workers Compensation claims processing and management is highly desirable.



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