USAATempe
do – from how we treat our members to how we treat each other. Come be a part of what makes us so special! The Opportunity We are seeking dedicated Managers, Claims Operations to lead a team of Auto Subrogation specialists! In this role you will lead...
USAAPhoenix, 8 mi from Tempe
we do - from how we treat our members to how we treat each other. Come be a part of what makes us so special!
The Opportunity
We are seeking dedicated Managers, Claims Operations to lead a team of Auto Subrogation specialists!
In this role you...
CorVel CorporationPhoenix
The Senior Liability Claims Specialist manages within company best practices complex and non-complex Auto and General Liability claims. Investigates claims and handles 3rd party Auto and General Liability claims. Assists other claims professionals with more complex or problematic claims as necessary...
CorVel CorporationPhoenix
The Auto/PD Liability Claims Specialist manages within company best practices complex and non-complex Auto and General Liability claims. Investigates claims and handles complex 3rd party Auto and General Liability claims, including litigation.
Assists other claims professionals with more complex or ...
CorVel CorporationPhoenix
The Claims Assistant will assist and support the claims staff in the set-up and administration of workers’ compensation claims/case management and other tasks depending on the specific needs of the customers. Process mail, handle files (until paperless), and input notes/diary entries in the claims s...
Vensure Employer ServicesChandler, 9 mi from Tempe
and grow their operations with custom strategies that benefit both employers and employees. Find out more by visiting .
Position Summary
Senior Worker's Compensation Claims Specialist position is responsible for servicing our Elite-level clients workers...
ApTaskPhoenix, 8 mi from Tempe
Currency conversion
Attention to detail, could be looking at 100s of data points
Email processing – Claims submitted by brokerages with thousands of claims attached
Strong verbal and written communication skills.
Able to work independently without...
CornerStone StaffingPhoenix
Customer Service Representative. We are seeking a diligent and experienced Customer Service Representative to join an established law firm. In this role, you will be responsible for handling incoming calls from borrowers regarding their defaulted mortgages, providing exceptional customer service, an...
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Junior Workers Compensation Specialist
Tempe | careers-aerotek.icims.com |
Overview:
Aerotek has an immediate opening for a Junior Workers Compensation Specialist at the corporate office in Tempe, AZ.
Job Summary:
Reporting to the Workers Compensation Compliance Supervisor and Workers Compensation Compliance Manager, the Claims Review Specialist will assist in the monitoring and administering of Aerotek’s workers compensation program to ensure the maximum cost containment.
Seek to ensure that Third Party Administrator (TPA) is managing claims efficiently.
Essential Functions:
• Conducts and properly document all incident /accident investigations into our RIMIS system. Ensures the TPA thoroughly and properly investigates all initial claims. Monitor to ensure that TPA follows appropriate state workers compensation laws and defenses
• Within the scope of authority, reviews and authorizes worker’s compensation settlement offers to be made by the TPA
• Effectively monitors medical and disability claim authorizations and payments to ensure their appropriate and accurate
• Reviews costs associated with all claims handling and developing strategies to improve performance
• Works with TPA to move claims toward closure
• Partners with Safety, Human Resources and Corporate Legal to drive claims management
• Makes appropriate referrals to outside vendors such as defense attorneys, nurse case managers and investigator
• Coordinates the employee’s release to transitional duty with the Return-to-Work Specialist and the Field Office.
• Obtains evidence in contested and/or litigated claims to assist outside attorneys to defend claim and to prepare for trial
• Initiate subrogation where appropriate with management’s authorization
• Prepares for and attends Claim Review Conference with TPA to evaluate individual cases; reviews, and adjusts financial reserves of claims; negotiates with TPA the settlement of claims within established authority and work together to develop detailed and doable Plans of Actions
• Conducts bi-annual audits to ensure TPA is meeting their best practices requirements
• Review reserves and provide authorization to TPA, where appropriate within authority
• Reviews performance of external vendors in the areas of claims administration, manages litigation and make recommendation to Workers Compensation Compliance Supervisor for adjustments
• Monitors and reviews workers compensation claims and the claims processing; identifies claims management trends and inefficiencies and make recommendation as needed
• Participates in developing strategies to reduce claims frequency and severity
• Establishes and maintains a file and diary on all open claims
• Participates in communicating claims trends to Regional Safety Manager
• Working with Compliance Supervisor to develop and conduct training to field offices regarding workers compensation issues and process
• Attends training sessions, conferences, and workshops to keep abreast of current practices, programs, and legal issues for the purpose of conveying and/or gathering information required to perform functions
• Authority level for settlements up to $70,000
• Authority level for reserves up to $80,000
Qualifications:
• High school diploma and 3 years work experience in insurance, workers compensation claim management or risk management or
• Associate in Arts / Sciences and 2 years' experience in workers compensation, or risk management or related field or
• Bachelor's Degree with 2 years' work experience in insurance, workers compensation claims management or risk management
• Ability to learn TPA system & generate requested reports
Aerotek has an immediate opening for a Junior Workers Compensation Specialist at the corporate office in Tempe, AZ.
Job Summary:
Reporting to the Workers Compensation Compliance Supervisor and Workers Compensation Compliance Manager, the Claims Review Specialist will assist in the monitoring and administering of Aerotek’s workers compensation program to ensure the maximum cost containment.
Seek to ensure that Third Party Administrator (TPA) is managing claims efficiently.
Essential Functions:
• Conducts and properly document all incident /accident investigations into our RIMIS system. Ensures the TPA thoroughly and properly investigates all initial claims. Monitor to ensure that TPA follows appropriate state workers compensation laws and defenses
• Within the scope of authority, reviews and authorizes worker’s compensation settlement offers to be made by the TPA
• Effectively monitors medical and disability claim authorizations and payments to ensure their appropriate and accurate
• Reviews costs associated with all claims handling and developing strategies to improve performance
• Works with TPA to move claims toward closure
• Partners with Safety, Human Resources and Corporate Legal to drive claims management
• Makes appropriate referrals to outside vendors such as defense attorneys, nurse case managers and investigator
• Coordinates the employee’s release to transitional duty with the Return-to-Work Specialist and the Field Office.
• Obtains evidence in contested and/or litigated claims to assist outside attorneys to defend claim and to prepare for trial
• Initiate subrogation where appropriate with management’s authorization
• Prepares for and attends Claim Review Conference with TPA to evaluate individual cases; reviews, and adjusts financial reserves of claims; negotiates with TPA the settlement of claims within established authority and work together to develop detailed and doable Plans of Actions
• Conducts bi-annual audits to ensure TPA is meeting their best practices requirements
• Review reserves and provide authorization to TPA, where appropriate within authority
• Reviews performance of external vendors in the areas of claims administration, manages litigation and make recommendation to Workers Compensation Compliance Supervisor for adjustments
• Monitors and reviews workers compensation claims and the claims processing; identifies claims management trends and inefficiencies and make recommendation as needed
• Participates in developing strategies to reduce claims frequency and severity
• Establishes and maintains a file and diary on all open claims
• Participates in communicating claims trends to Regional Safety Manager
• Working with Compliance Supervisor to develop and conduct training to field offices regarding workers compensation issues and process
• Attends training sessions, conferences, and workshops to keep abreast of current practices, programs, and legal issues for the purpose of conveying and/or gathering information required to perform functions
• Authority level for settlements up to $70,000
• Authority level for reserves up to $80,000
Qualifications:
• High school diploma and 3 years work experience in insurance, workers compensation claim management or risk management or
• Associate in Arts / Sciences and 2 years' experience in workers compensation, or risk management or related field or
• Bachelor's Degree with 2 years' work experience in insurance, workers compensation claims management or risk management
• Ability to learn TPA system & generate requested reports