Claims Specialist

4 weeks ago


Trenton, New Jersey, United States Inficare Full time

Job Title: Claims Specialist - Risk Management Expert

Location: Trenton, NJ

Duration: 1 Month

Job Description:

Under the direction of a supervisor, determines compensability of Workers Compensation claims filed by State government employees against the State of New Jersey.

Oversees medical case management for assigned files, and authorizes appropriate medical treatment in consultation with a managed care provider.

Processes temporary compensation payments, and orders Independent Medical Examinations (IME).

Prepares physical, documentary, and testimonial evidence needed for litigated files to assist assigned Deputy Attorney General in litigation and/or trial.

Processes claim petitions, and other legal pleadings and discovery demands.

Conducts investigations and interviews, and performs other related duties as required.

Responsibilities:

  • Determines compensability of Workers Compensation claims
  • Oversees medical case management
  • Authorizes medical treatment
  • Processes temporary compensation payments
  • Orders Independent Medical Examinations (IME)
  • Prepares evidence for litigated files
  • Processes claim petitions and legal pleadings
  • Conducts investigations and interviews

Requirements:

  • Strong analytical and problem-solving skills
  • Excellent communication and interpersonal skills
  • Ability to work independently and as part of a team
  • Strong attention to detail and organizational skills
  • Ability to maintain confidentiality and handle sensitive information

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