Claims Representative - Workers Compensation jobs in United States
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22nd Century Technologies Inc. · 7 hours ago

Claims Representative - Workers Compensation

22nd Century Technologies Inc. is seeking a Senior Claims Representative to investigate, evaluate, and manage workers' compensation claims. The role involves developing measures of loss, resolving claims, and providing customer service while operating with additional authority compared to a standard claims representative.

Artificial Intelligence (AI)Cloud ComputingEnterprise ApplicationsGovernmentInformation ServicesInformation TechnologyInfrastructureIT Infrastructure
Hiring Manager
Hardik Verma
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Responsibilities

Initiates contact with individuals involved in claims and acquires information concerning the loss
Assembles and arranges factual information in a manner adequate to justify disposition subject to management authority
Develops a measure of damage for each loss
Consults with medical staff and legal counsel as necessary
Evaluates exposure and determines the action necessary to dispose of loss within authority level where possible
Initiates with Management authority the actions necessary to dispose of loss
Assembles, maintains, and prepares records
Reviews medical expense bills for appropriateness and payment
Provides customer service to internal and external clients relating to their claims
Approves benefit payments as well as payment of medical and legal expenses

Qualification

Workers' compensation claimsClaims managementBachelor's degreeRisk management certificationCustomer service

Required

Bachelor's degree in Business Administration, Finance or Accounting or equivalent work experience required
Minimum of three years' experience in adjusting workers' compensation indemnity claims in the State of New Jersey required
Ability to work in an office environment with moderate noise level
Ability to work flexible hours, including evenings and weekends
Ability to travel to other offices and client, carrier, and work sites as required
Residency in the State of New Jersey in accordance with the New Jersey

Preferred

Experience adjusting workers' compensation for an intergovernmental risk pool is preferred
Associate in Risk Management, Certified Risk Manager, or Associate in General Insurance designation preferred

Company

22nd Century Technologies Inc.

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22nd Century Technologies is an IT Systems Integrator, Software Products and Consulting Company