WC Claims Specialist

Company: Vensure Employer Services
Location: Boise
Posted on: November 17, 2021

Job Description:

The Workers' Compensation Claims Specialist serves as a liaison between the Company's clients and the respective insurance carrier responsible for adjudicating the clients' workers' compensation losses. This role requires that the coordinator monitor their assigned employers' workers' compensation claims, from inception through closure, to ensure that all salient aspects of claim adjudication are being effectively and efficiently performed. Position Responsibilities Serve as a liaison between the Company's clients and the respective insurance carrier responsible for adjudicating the clients' workers' compensation losses Monitor worker's compensation claims, from inception through closure, including recognizing and pursuing alternative light duty assignments whenever possible, monitoring for accurate compensability, indemnity payment, claim closure, and subrogation decisions, ensuring accurate reserving practices, and monitoring both medical and legal management Work with the WC Claims Operations Manager to recognize opportunities to utilize the Company's alternative light duty (ALD) program, where all injured workers placed on modified duty are assigned to work at non-profit entities and paid by our clients in order to eliminate the entitlement to temporary partial disability benefits. Respond to and resolving numerous telephonic and e-mail inquiries from our clients and agents concerning various claim issues Prepare detailed claim summaries for presentation and discussion with our clients during quarterly claim reviews Assist intake with the reporting of new claims to the appropriate carrier Document the electronic claim file with various forms of correspondence and summations of telephonic conversations and significant action(s) taken Desired Knowledge, Skills and Abilities Proficient with the internet and Microsoft Office products Knowledge of workers' compensation procedures (in multiple jurisdictions) or possess the ability to learn This position requires strong communication skills (both written and oral) Strong organizational, analytical, and problem solving skills The ability to coordinate multiple projects, with varying and changing priorities, and to meet tight deadlines Must be able to work both independently and collaboratively and possess strong customer-service skills

Keywords: Vensure Employer Services, Boise , WC Claims Specialist, Other , Boise, Idaho