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Workers' Compensation Team Lead
2 months ago
Our esteemed client, a leading Claims Management organization, is seeking a seasoned Workers' Compensation Team Lead to spearhead their team in tackling intricate and complex cases. As a key member of the team, you will be responsible for navigating the litigation process, negotiating with stakeholders, and ensuring timely and cost-effective claims resolution.
Key Responsibilities- Claims Analysis and Resolution: Conduct thorough investigations, gather information, and develop well-structured action plans to resolve complex workers' compensation claims in a timely and efficient manner.
- Claim Recoveries: Manage claim recoveries, including subrogation, Second Injury Fund excess recoveries, and Social Security and Medicare offsets, to maximize returns for the client.
- Litigation Management: Oversee the litigation process, ensuring that claims are resolved in a cost-effective and timely manner, while maintaining strong relationships with stakeholders.
- Benefits Administration: Calculate and pay benefits due, approve and make timely claim payments and adjustments, and settle claims within designated authority levels.
- Education: Bachelor's Degree or accredited university degree is preferred.
- License: Valid NY Adjusters' License is required.
- Experience: 3+ years of relevant WC experience.
- Skills: Strong negotiation skills, ability to work with Microsoft Office products, and excellent analytical and problem-solving skills.
Swoon is a leading staffing solutions provider, handling the staffing needs of over 80 Fortune 500 clients. We have been recognized as one of the Best and Brightest Companies to Work for in the Nation, and have been awarded the Inc. 5000 Fastest Growing Private Companies in the US from 2016 – 2020.
