MountPleasantRecruiter
the smart solution for Mount Pleasant jobs

Workers Compensation Claims Representative

Location: Mount Pleasant
Posted on: April 17, 2019

Job Description:

Workers Compensation Claims Representative



PRIMARY PURPOSE: To analyze complex or technically difficult claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.



ESSENTIAL FUNCTIONS and RESPONSIBILITIES

?Analyzes and manages complex or technically difficult claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.

?Assesses liability and resolves claims within evaluation.

?Negotiates settlement of claims within designated authority.

?Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.

?Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level.

?Prepares necessary state fillings within statutory limits.

?Manages the litigation process; ensures timely and cost effective claims resolution.

?Coordinates vendor referrals for additional investigation and/or litigation management.

partnerships to reduce overall cost of claims for our clients.

?Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner.

?Communicates claim activity and processing with the claimant and the client; maintains professional client relationships.

?Ensures claim files are properly documented and claims coding is correct.

?Refers cases as appropriate to supervisor and management.



We are an equal employment opportunity employer and will consider all qualified candidates without regard to disability or protected veteran status.

Keywords: , Mount Pleasant , Workers Compensation Claims Representative, Accounting, Auditing , Mount Pleasant, South Carolina

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Accounting, Auditing Jobs


Medical Billing Specialist
Description: Medical Billing Specialist Full -Time 13 br
Company: Confidential
Location: Savannah
Posted on: 04/23/2019

Workers Compensation Claims Representative
Description: Workers Compensation Claims Representative br br PRIMARY PURPOSE: To analyze complex or technically difficult claims to determine benefits due to work with high exposure claims involving litigation (more...)
Company:
Location: Mount Pleasant
Posted on: 04/17/2019

Director of Finance
Description: Director of Finance General Statement of Job Responsible for overall financial operations of the District, including
Company: Dorchester School District Four
Location: Charleston
Posted on: 04/23/2019


Experienced Tax Advisor - Block Advisors
Description: Experienced Tax Advisor - Block Advisors Seeking growth oriented, experienced Tax Preparers/Advisors to join our network of professionals, serving clients with diverse tax and business services needs (more...)
Company: H&R BLOCK
Location: Mount Pleasant
Posted on: 04/24/2019

Financial Advisor
Description: Prepare yourself for a brand new career - one where your success is completely in your hands. Edward Jones is a privately owned financial-services leader with nearly 14,000 Financial Advisors in the United (more...)
Company: Edward Jones
Location: Summerville
Posted on: 04/23/2019

Worker's Compensation Assistant
Description: Currently seeking an Experienced Worker's Compensation Assistant br - The right candidate will be working with all WC cases - doing any filings,
Company:
Location: Charleston
Posted on: 04/15/2019

Cost Controller
Description: The Lane Construction Corporation is a leading U.S. construction company specializing in the transportation, infrastructure and energy industries. Lane's unique combination of capabilities includes public-private (more...)
Company: The Lane Construction Corporation
Location: Charleston
Posted on: 04/17/2019

Staff Accountant
Description: POSITION: Staff Accountant br br LOCATION: br Charleston , SC br br JOB ID: 272 br br OF OPENINGS: 1 br br ------------------------- br br Founded in 2001, Verge Health is the (more...)
Company: Verge Health
Location: Charleston
Posted on: 04/16/2019

Division Controller
Description: DESCRIPTION SHIFT: No Weekends br br SCHEDULE: Full-time br br HCA Healthcare is one of the nation's leading providers of healthcare services, comprising 179 hospitals and 120 freestanding surgery (more...)
Company: HCA Healthcare
Location: Charleston
Posted on: 04/16/2019

Financial Professional Associate
Description: Prudential is a multinational financial services leader with operations in the United States, Asia, Europe, and Latin America. Leveraging its heritage of life insurance and asset management expertise, (more...)
Company: Prudential
Location: Charleston
Posted on: 04/17/2019

Log In or Create An Account

Get the latest South Carolina jobs by following @recnetSC on Twitter!

Mount Pleasant RSS job feeds