Claims Manager - Workers' Compensation jobs in United States
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Colorado Department of Revenue · 2 days ago

Claims Manager - Workers' Compensation

The Colorado Department of Revenue is seeking a Claims Manager for Workers' Compensation to oversee the administration of the Workers’ Compensation Act and related claims handling. This role involves daily reviews, audits, and training for all parties involved in claims, as well as ensuring compliance with applicable statutes and rules.

Government Administration
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Responsibilities

Responsible for the hands-on administration of the Workers’ Compensation Act and Rules of Procedure with regard to claims handling
Provides daily reviews, monetary audits, education, training and information for all parties to claims
Intervenes in workers’ compensation related matters, as well as other related claims duties assigned
Assist claimants, attorneys, medical providers, and employers in processing their workers’ compensation claims by interpreting and explaining case law, regulations (statutes), and rule procedures
Intervening between parties to resolve claim issues before escalating to the hearing process
Monitors insurance carriers and TPAs to ensure compliance with applicable statutes and rules
Assesses penalties for non-compliance when necessary
Educate and train claims representatives on new and old case law, statutes and revised statutes, existing rules and revised rules
Reviews claim filings from 1983 to present, which includes three (3) statute changes, and multiple rule changes

Qualification

Workers' Compensation ActClaims ManagementClaims AdjustingRegulatory ComplianceMonetary AuditsCustomer ServiceTrainingEducationCommunication Skills

Required

Five (5) years of relevant experience in an occupation related to the work assigned to this position to include: Claims adjusting related work and duties, workers compensation claims management to include form completion and submission, calculating benefit wages, familiarity with the type of benefits, rules and regulations claimant communications
Must be a current resident of Colorado
Must pass a thorough background check prior to employment which will include the E-Verify process

Preferred

Experience performing similar duties as a State of Colorado classified employee
1-2 years of experience in claims adjusting: paying out lost wage benefits, authorizing medical treatment, investigating claims for compensability, etc

Benefits

Strong, secure, yet flexible retirement benefits including a PERA Defined Benefit Plan or PERA Defined Contribution Plan plus 401(k) and 457 plans
Medical and dental health plans
Employer supplemented Health Savings Account
Paid life insurance
Short- and long-term disability coverage
11 paid holidays per year plus vacation and sick leave
BenefitHub state employee discount program
MotivateMe employee wellness program
Excellent work-life programs, such as flexible schedules, training and more
Access to participate in employer-supported employee affinity spaces
RTD EcoPass Commuter Program
Some positions may qualify for the Public Service Loan Forgiveness Program.

Company

Colorado Department of Revenue

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With just under 1500 employees, the Colorado Department of Revenue oversees the Division of Motor Vehicles, the Enforcement Division, the Colorado State Lottery, and the Taxation Division.

Funding

Current Stage
Late Stage

Leadership Team

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Lorri Dugan
Chief Financial Officer
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Meghan Tanis
Chief Operating Officer/Deputy Executive Director
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