Workers' Compensation Claims Specialist
1 week ago
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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