Job Description


Our Client, a Business Solutions company, is looking for a Claims Representative - Workers Compensation for their Phoenix, AZ/Remote location.
 

Responsibilities:
  • Processes low level workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.

  • Develops and coordinates low level workers compensation claims' action plans to resolution, return-to-work efforts, and approves claim payments.

  • Approves and processes assigned claims, determines benefits due, and administers action plan pursuant to the claim or client contract.

  • Administers subrogation of claims and negotiates settlements.

  • Communicates claim action with claimant and client.

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

  • May process low-level lifetime medical and/or defined period medic...
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