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Workers Compensation Account Claims Representative (Pennsylvania)

In United States

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Workers Compensation Account Claims Representative (Pennsylvania)   

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JOB TITLE:

Workers Compensation Account Claims Representative (Pennsylvania)

JOB TYPE:

JOB SKILLS:

JOB LOCATION:

Mount Laurel, NJ | Philadelphia, PA | Blue Bell, PA United States

JOB DESCRIPTION:

Job Title: Workers Compensation Account Claims Representative (Pennsylvania) Job Type: Permanent Job Location: Mt Laurel, NJ / Philadelphia, PA /Blue Bell, PA (Remote for qualified candidates) Interview: Virtual Job Description: As a member of the Claims team, utilize your knowledge on PA Workers' Compensation to investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes. You will administer and resolve the highest risk management expectations claims in a timely manner in accordance with legal, policy, and company provisions. Responsibilities: Investigate all assigned claims with minimal supervision, including those of a more complex nature. Determine coverage, compensability potential for subrogation recovery, and second injury fund. Alerting Supervisor for potentially suspecting claims. Ensure timely denial or Payment of benefits in accordance with jurisdictional requirements. Establish and implement appropriate action plans for case resolution including medical and disability management, litigation management, negotiation, and disposition. Demonstrate technical proficiency through timely, consistent execution of best claim practices. Job Requirements: Bachelor's degree / 5 or more years of equivalent work experience. At least 5 or more years of experience handling PA lost time Workers' Compensation claims. PA jurisdictional experience is required, Adjuster license is a plus. Familiarity with Medical Terminology.

Position Details

POSTED:

Jul 06, 2022

EMPLOYMENT:

INDUSTRY:

SNAPRECRUIT ID:

S1648080007867234

LOCATION:

United States

CITY:

Mount Laurel, NJ | Philadelphia, PA | Blue Bell, PA

Job Origin:

OORWIN_ORGANIC_FEED

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Job Title: Workers Compensation Account Claims Representative (Pennsylvania) Job Type: Permanent Job Location: Mt Laurel, NJ / Philadelphia, PA /Blue Bell, PA (Remote for qualified candidates) Interview: Virtual Job Description: As a member of the Claims team, utilize your knowledge on PA Workers' Compensation to investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes. You will administer and resolve the highest risk management expectations claims in a timely manner in accordance with legal, policy, and company provisions. Responsibilities: Investigate all assigned claims with minimal supervision, including those of a more complex nature. Determine coverage, compensability potential for subrogation recovery, and second injury fund. Alerting Supervisor for potentially suspecting claims. Ensure timely denial or Payment of benefits in accordance with jurisdictional requirements. Establish and implement appropriate action plans for case resolution including medical and disability management, litigation management, negotiation, and disposition. Demonstrate technical proficiency through timely, consistent execution of best claim practices. Job Requirements: Bachelor's degree / 5 or more years of equivalent work experience. At least 5 or more years of experience handling PA lost time Workers' Compensation claims. PA jurisdictional experience is required, Adjuster license is a plus. Familiarity with Medical Terminology.


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