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Examiner Claims Workers Compensation II

Employer
York Risk Services Group
Location
Portland, Oregon
Salary
Not Specified
Closing date
Apr 15, 2019

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Category
Claims, Workers' Compensation
Job Type
Not Specified
Career Level
Not Specified

Job Details

At York, we believe that an experience marked by expertise, consistency and compassion sets us apart. And we celebrate the diverse backgrounds and unique perspectives that allow us to stand apart from our competitors. Thats why we are committed to recruiting, developing and retaining people who represent our values and who believe in our mission.

Job Description

Investigates claims to determine an injured workers entitlement to Workers Compensation benefits; Administers indemnity and medical benefits for valid Workers Compensation claims; manages a caseload of claims from inception to closing or settlement.

  • Completes 3-point contact on new claims within 24 hours in order to obtain information necessary to make a compensability decision on the claim
  • Establishes appropriate reserve levels based on financial exposure and updates reserves upon receipt of new information
  • Directs assistant to properly pay indemnity benefits and Awards. Issue state-mandated benefit notices within the required timeframes
  • Annotates, categorizes and addresses incoming mail on a daily basis
  • Responds to questions and requests from the client
  • Strong proficiency in keyboarding and data entry skills; most time spent in front of a computer entering text with applications.
  • Must be able to type accurately, enter information into a computerized system

EDUCATION:

  • BS / BA or Equivalent Work Experience

EXPERIENCE:

  • 3 to 5 years

SKILLS/ABILITIES:

  • Ability to prioritize multiple tasks and meet deadlines
  • Excellent written and verbal skills
  • Excellent customer service skills

KNOWLEDGE:

  • Workers Compensation law, policies and procedures
  • Medical and legal terminology
  • Integration with Medicare

Company

For more than 55 years, York has been delivering on our mission of reducing risk and getting people and organizations back to health, work and productivity. We’re committed to recruiting, developing and retaining people who represent our values and who believe in our mission. Our associates come from all walks of life but are single-minded in the pursuit of doing right by those we serve. We want each experience for our clients to be marked by expertise, consistency, and compassion because that’s what sets us apart. And we know for certain that it’s our people who allow us to say, boldly and proudly, that York is behind every good outcome.

Company info
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