Senior Workers Compensation Claims Specialist (NO C2C) jobs in United States
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OpTech · 2 days ago

Senior Workers Compensation Claims Specialist (NO C2C)

OpTech is an equal opportunity employer committed to creating a diverse environment. They are seeking a Senior Workers' Compensation Claims Specialist to manage complex and high-profile Workers’ Compensation claims, review policy coverages, and collaborate with case managers to create action plans that reduce overall claim costs.

ConsultingCyber SecurityRecruiting
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Growth Opportunities
Hiring Manager
Jennifer Miller
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Responsibilities

The Sr. Claims Specialist manages complex and high-profile Workers’ Compensation claims
Reviews policy coverages and determines validity and compensability of the claim, files necessary documents with state agencies
Collaborate with case managers to create action plans and outcomes to reduce overall cost of claim
Communicates claim status with the customer, claimant and client
Work with attorneys, manage subrogation, negotiate settlements and handle recoveries
Meets or exceeds performance competencies and adheres to client and carrier guidelines

Qualification

Workers' Compensation claimsCase managementCost containment solutionsMS Office proficiencyMultiple screensCommunication skillsInterpersonal skillsTime managementOrganizational skillsMentoring

Required

3 years managing complex Workers' Compensation claims in California
Knowledge of the Workers' Compensation administration, case management and cost containment solutions
Strong communication skills - verbal and written
Strong interpersonal, time management and organizational skills
Mentor team members to build knowledge and understanding of claims practices
Proficiency with MS Office - Outlook, Word, Excel, Teams, SharePoint
Experience using multiple screens/monitors
Bachelor's degree or a combination of education and related experience

Company

OpTech

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OpTech is a professional services firm providing IT, engineering, healthcare and financial services to Fortune 500 and Government clients.

Funding

Current Stage
Growth Stage

Leadership Team

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Ronia Kruse
President/CEO
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Neil W. Monette, Ph.D.
Chief Technology Officer
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Company data provided by crunchbase