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Indianapolis, IN
(Click company name to view employer profile and all available positions.)
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| Career Field |
Claims
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| Insurance Discipline |
All
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| Relocation Assistance |
Not Available
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| Job Duration |
Full Time |
| Salary Offered |
Open
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SUMMARY:
Manage all accepted lost time claims, except specified serious injuries or complex claims that cannot be resolved within approximately 7 months.
PRIMARY DUTIES:
Perform telephonic case management of Workers Compensation claims that are assigned.
Contact injured worker, employer and medical providers in a timely manner to gather relevant info to assist in the investigation and evaluation of the claim. Manage to conclusion all lost time claims with 6 months duration or less. .
Manage files with an emphasis on file quality (including timely contact and proper documentation), maximizing internal resources, and achieving a positive end result by returning injured party to work.
Aggressively pursue claim resolution opportunities.
Build strong partnership with our internal nurse resources (Medical Case Manager) in order to integrate the delivery of medical services to the injured worker.
Identify claim issues as they arise, and take appropriate steps to resolve them or refer them to the Unit Manager for reassignment.
Establish appropriate reserves to reflect claim exposure.
EDUCATION/COURSE OF STUDY:
College degree is preferred.
WORK EXPERIENCE:
Workers Compensation claim handling experience (2-5 years) including investigations skills, resolution skills, evaluation, negotiation and reserving skills
OTHER:
Complete understanding of all policy, coverage and endorsement implications, and AOE/COE issues
Technical and jurisdictional and case law knowledge.
File Management
Technical
Customer Focus/ Communication
Relationship Management
Technology
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