We're looking for a Workers Compensation Claims Examiner with NY jurisdiction and subrogation experience, and NY licensing required. As a Workers Compensation Claims Examiner, you will analyze Lost-Time Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.

Responsibilities:

• Analyze and process claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
• Negotiate settlement of claims within designated authority.
• Communicate claim activity and processing with the claimant and the client.
• Report claims to the excess carrier and respond to requests of directions in a professional and timely manner.

Requirements:

• 5 years of claims management experience or equivalent combination of education and experience required.
• High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.
• Professional certification as applicable to line of business preferred.
• NY jurisdiction knowledge and licensing required.

Benefits:

• Flexible work schedule.
• Referral incentive program.
• Career development and promotional growth opportunities.
• A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

The salary range for this role is $80,000 - $90,000 per year.

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We're looking for a Liability Claims Examiner to analyze General Liability and Auto Liability Bodily Injury claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.

Responsibilities:

• Analyze and process claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
• Negotiate settlement of claims within designated authority.
• Communicate claim activity and processing with the claimant and the client.
• Report claims to the excess carrier and respond to requests of directions in a professional and timely manner.

Requirements:

• High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.
• 5 years of claims management experience or equivalent combination of education and experience required.
• Professional certification as applicable to line of business preferred.
• Jurisdiction Knowledge: US
• Licensing: Preferred

Benefits:

• Flexible work schedule
• Referral incentive program
• Career development and promotional growth opportunities
• A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one

Work Environment Requirements:

• Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
• Physical: Computer keyboarding
• Auditory/Visual: Hearing, vision and talking

Job Data by YubHub.

We're looking for a Workers Compensation Claims Examiner to analyze Lost-Time Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.

Responsibilities:

• Analyze and process claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
• Negotiate settlement of claims within designated authority.
• Communicate claim activity and processing with the claimant and the client.
• Report claims to the excess carrier and respond to requests of directions in a professional and timely manner.

Requirements:

• High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.
• 3-5 years of claims management experience or equivalent combination of education and experience required.
• Professional certification as applicable to line of business preferred.
• Public Entity Workers Compensation preferred.
• NY jurisdiction knowledge and licensing required; NJ preferred.

Benefits:

• Flexible work schedule.
• Referral incentive program.
• Opportunity to work in a remote environment.
• Career development and promotional growth opportunities.
• A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

Salary Range: $90,000 - $95,000 per year

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We're looking for a Claims Examiner I Workers Compensation to join our team in California. As a Claims Examiner, you will analyze workers compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.

Primary Responsibilities:

• Analyze and process claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
• Negotiate settlement of claims within designated authority.
• Communicate claim activity and processing with the claimant and the client.
• Report claims to the excess carrier and respond to requests of directions in a professional and timely manner.

Qualifications:

• 5 years of claims management experience or equivalent combination of education and experience required.
• High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.
• Professional certification as applicable to line of business preferred.
• Licensing / Jurisdiction Knowledge: CA

Benefits:

• Flexible work schedule
• Referral incentive program
• Opportunity to work in an agile environment
• Career development and promotional growth opportunities
• A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one

Salary Range: $60,234 - $95,000/yr

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We're looking for a Liability Claims Representative to join our team. As a Liability Claims Representative, you will analyze Auto Liability claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.

Responsibilities:

• Process low-level general liability claims by gathering information to determine liability exposure; assign reserve values to claims, make claims payments as necessary, and settle claims up to designated authority level.
• Develop and coordinate low-level general liability claims' action plans to resolution, return-to-work efforts, and approve claim payments.
• Approve and process assigned claims, determine benefits due, and administer action plan pursuant to the claim or client contract.
• Administer subrogation of claims and negotiate settlements.
• Communicate claim action with claimant and client.
• Ensure claim files are properly documented and claims coding is correct.
• May process low-level lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.
• Maintain professional client relationships.

Requirements:

• High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.
• 2 years of claims management experience or equivalent combination of education and experience required.
• Professional certification as applicable to line of business preferred.
• Nationwide jurisdiction knowledge.
• Licensing preferred.

Benefits:

• Flexible work schedule.
• Referral incentive program.
• Career development and promotional growth opportunities.
• A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

Work Environment Requirements:

• Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
• Physical: Computer keyboarding.
• Auditory/Visual: Hearing, vision and talking.

The salary range for this role is $45,000 - $50,000 per year.

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We're looking for a Liability Claims Examiner to support a dedicated client with capped caseloads, focusing on commercial trucking, general liability, bodily injury, property damage, and construction defect claims.

Responsibilities:

• Analyze and process claims through well-developed action plans to an appropriate and timely resolution
• Negotiate settlement of claims within designated authority
• Communicate claim activity and processing with the claimant and the client
• Report claims to the excess carrier and respond to requests of directions

Requirements:

• 3 years of claims management experience or equivalent combination of education and experience required
• High School Diploma or GED required; Bachelor's degree from an accredited college or university preferred
• Professional certification as applicable to line of business preferred
• Jurisdiction knowledge: Nationwide, specifically CA, FL & NY
• Licensing: required

Benefits:

• Flexible work schedule
• Referral incentive program
• Opportunity to work in a remote environment
• Career development and promotional growth opportunities
• A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one

Salary Range: $80,000 - $90,000 per year

Job Data by YubHub.

The Claims Examiner, Auto | Bodily Injury role involves analyzing and processing complex bodily injury auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability, and evaluating the scope of damages.

Responsibilities:

• Process complex auto commercial and personal line claims, including bodily injury, and ensure claim files are properly documented and coded correctly.
• Handle litigation process on litigated claims.
• Coordinate vendor management, including the use of independent adjusters to assist the investigation of claims.
• Report large claims to excess carrier(s).
• Develop and maintain action plans to ensure state-required contact deadlines are met and to move the file towards prompt and appropriate resolution.
• Identify and pursue subrogation and risk transfer opportunities; secure and dispose of salvage.
• Communicate claim action/processing with insured, client, and agent or broker when appropriate.
• Perform other duties as assigned.
• Support the organization's quality program(s).

Qualifications:

• Five (5) years of claims management experience or equivalent combination of education and experience required, including in-depth knowledge of personal and commercial line auto policies, coverage's, principles, and laws.
• Bachelor's degree from an accredited college or university preferred.
• Professional certification as applicable to line of business preferred.
• Strong oral and written communication, including presentation skills, PC literate including Microsoft Office products, and ability to work in a team environment.
• Secure and maintain the State adjusting licenses as required for the position.

Work Environment Requirements:

• Physical: Computer keyboarding
• Auditory/visual: Hearing, vision, and talking
• Mental: Clear and conceptual thinking ability; excellent judgment and discretion; ability to meet deadlines.

Compensation:

• The range of starting pay for this role is $80,000 to $85,000 per year.
• A comprehensive benefits package is offered, including medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

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We're looking for a Claims Examiner Workers Compensation in California with experience in workers compensation claims.

Primary Purpose of the Role: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

Essential Responsibilities May Include

• Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity and processing with the claimant and the client.
• Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

Qualifications

• 5 years of claims management experience or equivalent combination of education and experience required.
• High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.
• Professional certification as applicable to line of business preferred.
• Licensing / Jurisdiction Knowledge: California

Taking Care of You

• Flexible work schedule.
• Referral incentive program.
• Opportunity to work in an agile environment.
• Career development and promotional growth opportunities.
• A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

The salary range for this role is $63,404 - $95,000/yr.

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We're looking for a Claims Examiner Workers Compensation in Nevada with experience required.

Primary Purpose of the Role: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

Essential Responsibilities May Include

• Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity and processing with the claimant and the client.
• Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

Qualifications

• 5 years of claims management experience or equivalent combination of education and experience required.
• High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.
• Professional certification as applicable to line of business preferred.
• Nevada License required.

Taking Care of You

• Flexible work schedule.
• Referral incentive program.
• Opportunity to work in an agile environment.
• Career development and promotional growth opportunities.
• A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

For the jurisdiction noted in this job posting only, the range of starting pay for this role is $60,234 - $90,000/yr. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

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We're looking for a Claims Examiner Workers Compensation in Texas with experience required.

As a Claims Examiner, you will analyze workers compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.

Essential Responsibilities May Include

• Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity and processing with the claimant and the client.
• Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

Qualifications

• 5 years of claims management experience or equivalent combination of education and experience required.
• High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.
• Professional certification as applicable to line of business preferred.
• Texas License required.

Benefits

• Flexible work schedule.
• Referral incentive program.
• Opportunity to work in an agile environment.
• Career development and promotional growth opportunities.
• A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

The salary range for this role is $60,234 - $85,000/yr.

Job Data by YubHub.

We're looking for a Claims Examiner Workers Compensation with I NE jurisdiction experience required. As a Claims Examiner, you will analyze workers compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.

Essential Responsibilities May Include

• Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity and processing with the claimant and the client.
• Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

Qualifications

• 5 years of claims management experience or equivalent combination of education and experience required.
• High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.
• Professional certification as applicable to line of business preferred.
• Licensing / Jurisdiction Knowledge: NH, VT, MA, CT, RI, DC, DE, WV, VA

Benefits

• Flexible work schedule.
• Referral incentive program.
• Opportunity to work in an agile environment.
• Career development and promotional growth opportunities.
• A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

The salary range for this role is $60,234 - $90,000/yr.

Job Data by YubHub.

We're looking for a Claims Examiner Workers Compensation in New York with experience required.

As a Claims Examiner, you will analyze workers compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.

Key responsibilities include:

• Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity and processing with the claimant and the client.
• Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

Requirements:

• 5 years of claims management experience or equivalent combination of education and experience required.
• High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.
• Professional certification as applicable to line of business preferred.
• New York License required.

Benefits include:

• Flexible work schedule.
• Referral incentive program.
• Opportunity to work in an agile environment.
• Career development and promotional growth opportunities.
• A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

The salary range for this role is $60,234 - $90,000/yr.

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We're looking for a Claims Examiner - Construction to join our team. As a Claims Examiner, you will analyze general liability claims involving New York labor law or construction defect on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.

Primary Purpose of the Role: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

Essential Responsibilities May Include

• Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity and processing with the claimant and the client.
• Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

Qualifications

• 5 years of claims management experience or equivalent combination of education and experience required.
• High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.
• Professional certification as applicable to line of business preferred.
• Licensing / Jurisdiction Knowledge: Anywhere in the United States with construction defect experience

Taking Care of You

• Flexible work schedule.
• Referral incentive program.
• Opportunity to work in an agile environment.
• Career development and promotional growth opportunities.
• A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

The salary range for this role is $75,000 - $100,000/yr. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

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We're looking for a driven individual to fill the role of Claims Examiner | General Liability BI | Captive | Remote.

Primary Purpose of the Role: We are looking for individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

Essential Responsibilities May Include

• Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity and processing with the claimant and the client.
• Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

Qualifications

• 5 years of claims management experience or equivalent combination of education and experience required.
• High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.
• Professional certification as applicable to line of business preferred.

Taking Care of You

• Flexible work schedule.
• Referral incentive program.
• Opportunity to work in an agile environment.
• Career development and promotional growth opportunities.
• A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

The salary range for this role is $85,000.00 - $100,000.00 annual salary.

Job Data by YubHub.

We're looking for a Claims Examiner Workers Compensation to join our team remotely. As a Claims Examiner, you will analyze workers compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.

Primary Responsibilities:

• Analyze and process claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
• Negotiate settlement of claims within designated authority.
• Communicate claim activity and processing with the claimant and the client.
• Report claims to the excess carrier and respond to requests of directions in a professional and timely manner.

Requirements:

• 5 years of claims management experience or equivalent combination of education and experience required.
• High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.
• Professional certification as applicable to line of business preferred.

What We Offer:

• Flexible work schedule.
• Referral incentive program.
• Opportunity to work in an agile environment.
• Career development and promotional growth opportunities.
• A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

Salary Range: $63,404 - $85,000/yr

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We're looking for experienced Workers Comp Field Case Managers! As a Sedgwick Field Case Manager, you will work face-to-face with injured workers and medical providers to facilitate, through advocacy, progressive medical treatment, and timely return-to-work, while acting as a liaison and providing communication between all involved parties.

Responsibilities:

• Serve as patient advocate to support, guide, and coordinate care for injured workers, families, and caregivers as they navigate through the recovery process.
• Assist injured workers in achieving recovery and autonomy through advocacy, communication, education, identification of service resources, and service facilitation.
• Identify appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source.

Requirements:

• RN licensure required.
• Valid driver's license required.
• High-speed internet required.
• 1.5 years of prior Workers Compensation Case Management experience preferred.

Benefits:

• Offering a blended work environment.
• Supporting meaningful work that promotes critical thinking and problem-solving.
• Providing on-going learning and professional growth opportunities.
• Promoting a strong team environment and a culture of support.
• Recognizing your successes and celebrating your achievements.
• Comprehensive benefits package including:

+ Three Medical, and two dental plans to choose from. + Tuition reimbursement eligible. + 401K plan that matches 50% on every $ you put in up to the first 6% you save. + 4 weeks PTO your first full year.

Salary: The range of starting pay for this role is $80,000-$95,000/quarterly bonus eligibility and Sign-on Bonus Eligible.

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As the Director, Product Management - Data Systems, you will lead product strategy for our enterprise data foundation, including the Snowflake-based platform and supporting data systems that power OmniAnalyst, OmniInsights, and our broader data product ecosystem. Reporting to the Vice President of Data Product Management, this role defines the capabilities, governance, and roadmap needed to deliver scalable, secure, and trusted data products across the enterprise.

Essential Responsibilities

• Define Platform Capabilities: Define the capabilities required of the enterprise data foundation, including governed data sharing, access controls, entity resolution, semantic models, shared definitions, and data quality standards. Partner with Data Architecture and Data Engineering to design scalable, secure, and well-governed platform capabilities aligned with enterprise standards.
• Set Vision & Roadmap for Data Systems: Define and own the vision and multi-year roadmap for the enterprise data foundation, beginning with the Snowflake platform and evolving as business needs grow. Partner with Data Architecture leadership, business stakeholders, and internal data consumers to align platform investments with enterprise priorities.
• Intake, Prioritization & Platform Governance: Own the intake and prioritization process for enterprise data platform initiatives, maintaining a transparent framework for evaluating business requests. Balance business value, urgency, risk, dependencies, effort, and cost when prioritizing platform investments and managing tradeoffs.
• Drive Platform Delivery: Partner with Data Engineering, Data Architecture, Governance, and platform administration teams to deliver roadmap commitments and platform enhancements. Translate business requirements into technical product requirements, user stories, and acceptance criteria for data models, pipelines, access patterns, and platform services.
• Cross-Functional Partnership & Stakeholder Engagement: Build alignment across business, operations, technology, governance, security, privacy, and compliance stakeholders. Ensure appropriate platform controls are implemented and maintained, including role-based access, masking policies, data classification, retention, lineage, and auditability.

Qualifications

• Education: Bachelor's degree in Computer Science, Information Systems, Data Engineering, or a related technical field required. Advanced degree a plus.
• Experience: Ten (10) or more years of experience in product management, data platform, data engineering, or data architecture roles, including at least five (5) years in technical product management for data platforms. Hands-on experience with Snowflake, either as a technical practitioner or product owner of a Snowflake-based platform.
• Skills & Knowledge: Strong knowledge of enterprise data platform architecture, storage concepts, governance, performance optimization, and cost management. Expertise in data modeling, semantic modeling, metadata management, lineage, and data catalog concepts. Strong SQL proficiency with the ability to independently validate data solutions and review technical designs.

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As a Medical Director, Occupational Health & Workers’ Compensation Managed Care, you will evaluate medical reports escalated due to deficient information utilizing evidence-based criteria. You will provide leadership within the dedicated team of clinicians and claim professionals in support of the dedicated program through training and implementation of medical best practices.

Responsibilities:

• Evaluate medical reports and provide recommendations
• Provide leadership and training to the team
• Support client-facing activities, including strategic partnerships and complex medical escalations
• Stay current on emerging medical trends and clinical strategy
• Travel 25-30%

Requirements:

• Medical Doctor (M.D.) degree required
• 10+ years of related experience, including 1-3 years of utilization review experience and 3 years of clinical quality control
• Knowledge of evidence-based guidelines, ADAA, FMLA, utilization review procedures, and clinical quality systems
• Excellent oral and written communication skills, including presentation skills
• PC literate, including Microsoft Office products
• Analytical and interpretive skills
• Strong organizational skills
• Excellent interpersonal skills
• Proven management/leadership skills

Benefits:

• Blended work environment
• Meaningful work that promotes critical thinking and problem-solving
• Ongoing learning and professional growth opportunities
• Comprehensive benefits package, including medical, dental, vision, 401k, and matching
• 4 weeks PTO in the first full year

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We're looking for a Claims Examiner I Workers Compensation to join our team in CO/AZ/UT. As a Claims Examiner, you will analyze workers compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.

Primary Responsibilities:

• Analyze and process claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
• Negotiate settlement of claims within designated authority.
• Communicate claim activity and processing with the claimant and the client.
• Report claims to the excess carrier and respond to requests of directions in a professional and timely manner.

Requirements:

• 5 years of claims management experience or equivalent combination of education and experience required.
• High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.
• Professional certification as applicable to line of business preferred.
• Licensing / Jurisdiction Knowledge: CO, AZ, UT

Benefits:

• Flexible work schedule
• Referral incentive program
• Opportunity to work in an agile environment
• Career development and promotional growth opportunities
• A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one

Salary Range: $63,404 - $90,000/yr

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As a Telephonic Case Manager, you will partner with the injured worker, employer, and medical providers to create a case management strategy to facilitate medical recovery and a successful return to work through advocacy, communication, and coordination of medical services.

Responsibilities:

• Performs initial and ongoing clinical assessment via telephone calls to evaluate the injured worker's injury, medical treatment, psychosocial needs, cultural implications, and support systems.
• Effectively communicates and builds relationships with the claims' examiner, client, injured worker, attorney, and supervisor.
• Identifies issues related to delayed recovery and/or return to work and problem solves with a creative thinking approach.
• Negotiates treatment and disability duration with providers through use of medical and disability duration guidelines, adhering to quality.
• Identifies opportunities to expedite care for cost containment and timely medical recovery.
• Provides recommendations for alternate clinical resources to support claim resolution.
• Maintains client's privacy and confidentiality, promotes client safety and advocacy; and adheres to ethical, legal, accreditation, and regulatory standards.

Requirements:

• Current unrestricted RN license(s) in a state or territory of the United States required.
• Bachelor's degree in nursing (BSN) from accredited college or university or equivalent work experience preferred.
• Certification in case management, rehabilitation nursing, or a related specialty is highly preferred.

Benefits:

• Offering a blended work environment.
• Supporting meaningful work that promotes critical thinking and problem solving.
• Providing on-going learning and professional growth opportunities.
• Promoting a strong team environment and a culture of support.
• Recognizing your successes and celebrating your achievements.
• Diverse and comprehensive benefits package including:
• Three medical, and two dental & vision plans to choose from.
• Tuition reimbursement.
• 401K plan that matches 50% on every $ you put in up to the first 6% you save.
• 4 weeks PTO your first full year.

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