* Responsible for ensuring the proper administration, handling and resolution of all assigned claims (both lost time and medical-only.
* Complete claim contacts and investigations; document thoroughly and accurately.
* Handle full caseload of workers' compensation files including reserving, determine coverage and compensability, supervise legal defense and medical management, and bring claims to appropriate resolution.
* Represent company as hearing advocate.
* Communicate the appropriate claim information to the assistant for support activity.
* Field phone calls with highest-level customer service and best claim practices, attempt to handle all inquiries or action items on a claim in a timely manner.
* Mentor less experienced examiners; serve as expert reference for both procedural and jurisdictional claims information
* Close claims with appropriate resolution (RTW, settlement, termination of benefits, court order, etc.).
Position Requirements:
* Candidates must have extensive knowledge of medical terminology, workers’ compensation laws, and benefits.
* Candidates must reside in and be licensed in the state of Nevada
* Candidate must possess a current hearing advocate license in the state of Nevada
* Candidate must have 5+ years experience adjusting both lost time and med-only claims, and experience as a hearing advocate.
* Computer literacy, with knowledge of Microsoft Office Suite.
o Pleasant and professional telephone skills.
o Ability to handle multiple and sometimes conflicting priorities, fast paced environment.
o Candidate must be self-motivated and require little supervision.
o Must be able to obtain license and certifications as necessary.
o High level of customer service
o Organizational skills and time management skills are a must.
Location: Las Vegas, NV
Compensation: OPEN--DOE
Principals only. Recruiters, please don't contact this job poster.
Phone calls about this job are ok.
Please do not contact job poster about other services, products or commercial interests.
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