Workers Compensation and Insurance Program Coordinator Specialist
4 weeks ago
We are seeking a highly skilled and detail-oriented Workers Compensation and Insurance Program Coordinator to join our team at Nebraska Medicine. This individual will be responsible for administering workers' compensation claims, ensuring compliance with applicable laws and regulations, and providing training and guidance to leaders as needed.
Key Responsibilities- Reviews, investigates, and makes decisions regarding compensability and appropriateness of claims
- Processes and documents all workers' compensation claims, ensuring compliance with applicable laws and regulations
- Manages relationship with third-party administrator and advises in the administration of claims
- Provides training and guidance to leaders as needed
- Supports facility insurance and claim programs
- Minimum of three years of experience in workers' compensation, claim management, or similar role
- Bachelor's degree required
- Knowledge of state and federal healthcare legal and regulatory requirements, such as CMS Conditions of Participation, EMTALA, OSHA, HIPAA, applicable statutory requirements required
- Experience and knowledge of data analytics required
- Excellent written/verbal communication skills, and ability to work with diverse stakeholders including claimants, supervisors, third party administrators, medical professionals and attorneys required
- Ability to work with confidential information required
- Experience in a healthcare setting
Nebraska Medicine is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, marital status, sex, age, national origin, disability, genetic information, sexual orientation, gender identity and protected veterans' status.
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