Workers' Compensation Claims Specialist

1 week ago


Le Mars, Iowa, United States Wells Enterprises Full time

Job Title: Workers' Compensation Specialist

Job Summary: Wells Enterprises is seeking a detail-oriented individual to oversee the processing of Workers Compensation claims. As a key member of our team, you will be responsible for ensuring timely and accurate claim submissions, managing communication between parties, and providing exceptional customer service.

Key Responsibilities:

  • Claim Submission and Management: Submit claims to the Third-Party Administrator in a timely manner, ensuring all necessary information is provided.
  • Communication and Coordination: Manage communication between various parties involved in the claim, including employees, medical providers, and the TPA.
  • Discovery and Analysis: Handle discovery requests for litigated claims, run claim reports, and conduct analysis to ensure accurate and efficient claim processing.
  • Program Management: Manage the pharmacy program, employee mileage reimbursement, and appointment calendar to ensure seamless claim processing.

Requirements:

  • Strong Communication Skills: Excellent written and verbal communication skills to effectively manage communication between parties.
  • Attention to Detail: High level of attention to detail to ensure accurate and timely claim submissions.
  • Organizational Skills: Strong organizational skills to manage multiple claims and prioritize tasks effectively.


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