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#hiring Senior Claims Adjuster, Workers' Compensation, Acton, United States, fulltime #jobs #jobseekers #careers #Actonjobs #Californiajobs #InsuranceSuperannuation Apply: https://lnkd.in/dFj855MQ Who We Are Method Workers' Compensation is a portfolio of workers' comp companies with the same mission: minimizing the human and financial cost of workplace injuries. We mitigate workplace injuries and deliver exceptional healthcare outcomes for injured workers, expediting a return to work, preserving families' livelihoods, and enhancing employers' productivity. We maintain in-house expertise in claims management, medical bill review, underwriting, and loss prevention for high-hazard, high-mod, and mid-market risks. From submission to claim, we're there every step of the way, improving outcomes for everyone involved. Method currently operates in all states. What To Expect The Senior Claims Adjuster is primarily responsible for analyzing workers' compensation claims to determine the benefits due. This position may have some supervisory roles. This role is also responsible for ensuring the ongoing adjudication of claims within service expectations and company best practices pursuant to all state, legal, statutory, and regulatory bodies. This is a full-time, salaried exempt position with standard business hours of Monday through Friday from 8:00am to 5:00pm, with some flexibility at manager's discretion. What You'll Do With minimal supervision, investigate claims, including but not limited to reviewing the first report of injuries, medical records; contracts; contacting insureds, injured workers, medical providers, and other parties to determine compensability in a timely manner.Understands, analyzes, and applies policy components to evaluate coverage.Ensure compliance of claims handling requirements pursuant to all state, legal, statutory and regulatory bodies.Exercise discretion and independent judgment with respect to evaluating and managing claims, including determining reserve amounts and document rationale.Evaluate exposure of claims by reviewing medical records and claim facts to determine causal relatedness of medical conditions.Manage the medical treatment and return to work process throughout the life of the claim.Adhere to Method Best Practices, Method Claims Protocol, and Claims Handling Guidelines.Maintain appropriate claim file documentation and accurate claim coding.Communicate claim activity regularly to any relevant internal and external stakeholders, including injured workers, policyholders, medical providers, and carriers, when appropriate.Timely prepare state filings within the state statutory regulations.Calculate the average weekly wage and indemnity benefits owed.Ensure all benefits are paid timely and in accordance with jurisdictional requirements.Exercise accurate discernment and decision-making to analyze claims exposure and to plan and d

#hiring Workers Compensation Coordinator Bilingual Preferred, Chicago, United States, fulltime #jobs #jobseekers #careers #Chicagojobs #Illinoisjobs #Administration Apply: https://lnkd.in/dTff8fxD Workers Compensation Coordinator Bilingual PreferredPosition Summary The Workers Comp Coordinator meets these objectives by making telephonic contact with the injured worker, the worker's supervisor, the treating physician, and the claims adjuster. The contact provides reassurances to the worker, answers questions, identifies concerns, sells the benefits of transitional duty and occupational doctors, and is the workers primary source of assistance. Essential Functions: Initiate contact with injured employee immediately upon notification of injury. Continue contact as needed-at least weekly. Explain workers' compensation, the insurance carrier's role, and the injury counselor's role. Facilitate communication on benefits questions. Assess the injured worker's understanding of their injury, treatment, and satisfaction with care. Listen to concerns-encourage employees to call with concerns/problems. Establish open communication/maintain trust. Contact physician after every visit. Obtain work restrictions. Reiterate to the physician and employee about the desire to return to work as soon as appropriate and possible. Determine employee's condition and treatment plan. Determine cases requiring medical case management involvement. Act as liaison between management, claims adjuster, and employee to support return-to-work

𝗜𝘀 𝗳𝗶𝗻𝗱𝗶𝗻𝗴 𝗲𝘅𝗽𝗲𝗿𝗶𝗲𝗻𝗰𝗲𝗱 𝘀𝘁𝗮𝗳𝗳 𝗽𝗿𝗲𝘃𝗲𝗻𝘁𝗶𝗻𝗴 𝘆𝗼𝘂𝗿 𝗶𝗻𝘀𝘂𝗿𝗮𝗻𝗰𝗲 𝗮𝗴𝗲𝗻𝗰𝘆 𝗳𝗿𝗼𝗺 𝗴𝗿𝗼𝘄𝗶𝗻𝗴 𝗶𝘁𝘀 𝗯𝗼𝗼𝗸 𝗼𝗳 𝗯𝘂𝘀𝗶𝗻𝗲𝘀𝘀? Due to labor shortages, insurance agency producers and CSRs are overburdened with service responsibilities instead of focusing on agency growth. Learn more about how to solve this problem with Invisible Hand virtual back office/agency support: https://ow.ly/pRbw50PEaIm or call 908.268.1482. #Insuranceagent #insurance #BPO #insuranceBPO #businessprocessoutsourcing #backofficesupport #workflowanalytics #claimsprocessing #hiring #backoffice #workflow #relyonihc #insurancebroker

#hiring Workers Compensation Coordinator Bilingual Preferred, Chicago, United States, fulltime #jobs #jobseekers #careers #Chicagojobs #Illinoisjobs #Administration Apply: https://lnkd.in/d6A5c4Pa Workers Compensation Coordinator Bilingual PreferredPosition Summary The Workers Comp Coordinator meets these objectives by making telephonic contact with the injured worker, the worker's supervisor, the treating physician, and the claims adjuster. The contact provides reassurances to the worker, answers questions, identifies concerns, sells the benefits of transitional duty and occupational doctors, and is the workers primary source of assistance. Essential Functions: Initiate contact with injured employee immediately upon notification of injury. Continue contact as needed-at least weekly. Explain workers' compensation, the insurance carrier's role, and the injury counselor's role. Facilitate communication on benefits questions. Assess the injured worker's understanding of their injury, treatment, and satisfaction with care. Listen to concerns-encourage employees to call with concerns/problems. Establish open communication/maintain trust. Contact physician after every visit. Obtain work restrictions. Reiterate to the physician and employee about the desire to return to work as soon as appropriate and possible. Determine employee's condition and treatment plan. Determine cases requiring medical case management involvement. Act as liaison between management, claims adjuster, and employee to support return-to-work

If nothing changes, how can you expect a different result? Ten things you can do to reduce your Experience MOD by up to 50% or more! 1. Hire a Staffing Niche Insurance Agent. 2. Report ALL Claims within 24-hours. 3. Communicate with your Claims Adjuster weekly. 4. Communicate with the Injured Employee weekly. 5. Verify the Host Employer, Jobsite, Job, and Class Code for All Claims. 6. Designate/Hire an Internal Claims Coordinator. 7. Investigate and Document All Reported Injuries. 8. Obtain Written Statements from All Witnesses. 9. Stop Doing Business with your Claims. 10. Stop Hiring your Claims. And here's a bonus suggestion - Replace your workers' compensation vendor with a workers' compensation partner, like Nixer Comp! #staffingfriendly #staffing #workerscompensation #bestinclass

𝗜𝘀 𝗳𝗶𝗻𝗱𝗶𝗻𝗴 𝗲𝘅𝗽𝗲𝗿𝗶𝗲𝗻𝗰𝗲𝗱 𝘀𝘁𝗮𝗳𝗳 𝗽𝗿𝗲𝘃𝗲𝗻𝘁𝗶𝗻𝗴 𝘆𝗼𝘂𝗿 𝗶𝗻𝘀𝘂𝗿𝗮𝗻𝗰𝗲 𝗮𝗴𝗲𝗻𝗰𝘆 𝗳𝗿𝗼𝗺 𝗴𝗿𝗼𝘄𝗶𝗻𝗴 𝗶𝘁𝘀 𝗯𝗼𝗼𝗸 𝗼𝗳 𝗯𝘂𝘀𝗶𝗻𝗲𝘀𝘀? Due to labor shortages, insurance agency producers and CSRs are overburdened with service responsibilities instead of focusing on agency growth. Learn more about how to solve this problem with Invisible Hand virtual back office/agency support: https://ow.ly/cIcR50PEaIn or call 908.268.1482. #Insuranceagent #insurance #BPO #insuranceBPO #businessprocessoutsourcing #backofficesupport #workflowanalytics #claimsprocessing #hiring #backoffice #workflow #relyonihc #insurancebroker

Fun Fact: Did you know the average workers' comp claims adjuster  Juggles a whopping 175 claims at any given time? → That's right—175! New claims pour in, and existing ones wrap up Nearly every day. Managing this workload and costs It’s no easy feat! A good internal claims management process is key. Here is why this process in place matters: 1️⃣ Swift Action Ensure your injured worker's recovery doesn't wait on bureaucracy, And prevent further lingering costs of claims. 2️⃣ Employee Care A caring process reduces litigation risks— Litigated claims can be expensive. Communicate with care and track recovery. Your Employees will feel supported. 3️⃣  Efficient Return-to-Work A well-executed process will help you Get your people back And ensures their safe return to work. — Hi, My name is John, I help manufacturers, breweries, and middle market businesses ensure you have the right insurance coverages and well-managed HR operations in place to protect these crucial promises that you make.

If you're a growing business on the hiring fast track, you are probably in the throes of planning how you will administer a competitive employee benefits package. In this article, we break down the differences between a PEO vs. an insurance broker.