Workers' Compensation Claims Manager manages accountabilities in the administration of first and third party worker's compensation claims. Manages domestic and/or international claim management strategies critical to the organization's success. Being a Workers' Compensation Claims Manager is responsible for reporting, investigation, and analysis; litigation management; resolution/outcome management; and the delivery of claim information. Manages litigated and moderately complex claims and is entrusted with significant settlement authority. Additionally, Workers' Compensation Claims Manager creates and develops relationships with claims adjusters, insurers, outside legal counsel, and other claims related parties. Directs workers' compensation claims policies and procedures within the claim information analysis. Requires a bachelor's degree. Typically reports to a head of a unit/department. The Workers' Compensation Claims Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Workers' Compensation Claims Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)
Position Summary: The Workers Comp / Insurance Verification and Precertification Specialist is responsible for the verification of all patients benefits and authorizations prior to Surgery. MUST HAVE EXTENSIVE EXPERIENCE WITH WORKER'S COMPENSATION VERIFICATION / AUTHORIZATION PROCESSES as well as all Insurance benefits and procedures that are verified utilizing on-line insurance website resources as well as outbound phone calls to insurance companies. This position also obtains any demographic or insurance information required to verify the insurance. Once the insurance has been confirmed active, benefits are documented in the scheduling system and an active surgical appointment is booked with necessary notes regarding collections of deposits, etc.
Reports to: Director of Business Office
Flexibility: While this job description is meant to provide an overview and specific responsibilities of the Insurance Verification, Benefits, & Authorization Coordinator, JASC Management reserves the right to make changes, adjustments and revisions, as needed, to this document and will coordinate such modifications with JASC's Practice Administrator and Billing Office Directors.
Summary of General Duties:
*** Extensive communication with worker's compensation adjustors obtaining billing and authorization information.
Working Environment:
Physical demands:
Ability to grasp with both hands; pinch with thumb or forefinger; turn with hand/arm; reach for (above shoulder height)
Ability to type 60 wpm.
Ability to operate multi-line telephone system, computer keyboard and ten-key adding machine.
Position Requirements:
Benefit Conditions:
Work Remotely
Job Type: Full-time
Pay: From $16.00 per hour
Expected hours: 40 per week
Benefits:
Schedule:
Education:
Experience:
Work Location: In person