Workers Comp Medical Only Claims Specialist - (Raleigh, NC)
General Description: Manage within company best practices lower-level non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional.Essential Position assignments: Receives claim, confirms policy coverage and acknowledgement of the claim Determine validity and compensability of the claim Establish reserves and authorize payments within reserving authority limits Manage non-complex and non-problematic medical-only claims and minor lost-time workers' compensation claims under close supervision Communicate claim status with the customer and claimant and client Adhere to client and carrier guidelines and participate in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary Requires regular and consistent attendance.
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From TopUSAJobs - 1 month ago