Workers' Compensation Claims Manager jobs in Oregon

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)

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Workers Compensation Claims Examiner II
  • TRISTAR Insurance Group
  • Oswego, OR FULL_TIME
  • IN OFFICE POSITION- Oregon Washington certification or ability to become certified

    Please sign the application at the end

    POSITION SUMMARY: Under minimal supervision, manages all aspects of indemnity claims handling from inception to conclusion within established authority and guidelines.

    This position requires considerable interaction with clients, claimants on the phone, and with management, other Claims Examiners, and other TRISTAR staff in the office; therefore, consistently being at work in the office, in a timely manner, is inherently required of this position.

    Duties And Responsibilities

    • Effectively manages a caseload of up to 135 workers’ compensation files, including very complex claims.*
    • Initiates and conducts investigation in a timely manner.*
    • Determines compensability of claims and administer benefits, based upon state law and in accordance with established Company guidelines.*
    • Manages medical treatment and medical billing, authorizing as appropriate.*
    • Refers cases to outside defense counsel. Directs and manages as appropriate.*
    • Communicates with claimants, providers and vendors regarding claims issues.*
    • Computes and set reserves within Company guidelines. Limits are larger than those allowed for Claims Examiner I and Claims Examiner II.*
    • Settles and/or finalize all claims and obtains authority as designated.*
    • Maintains diary system for case review and documents file to reflect the status and work being performed on the file.*
    • Communicates appropriate information promptly to the client to resolve claims efficiently, including any injury trends or other safety related concerns.*
    • Involves TRISTAR loss control staff when appropriate.*
    • Adheres to all Company policies and procedures.*
    • Conducts file reviews independently.*
    • Other duties as assigned.
    • Essential job function.

    Oregon Washington certification or ability to become certified

    Please sign the application at the end

    Qualifications Required

    Education/Experience: High School Diploma or GED required; Bachelor’s degree in related field (preferred); two(2) years’ experience handling OR claims and WA (preferred); experience working with Self insured clients

    Knowledge, Skills And Abilities

    • Technical knowledge of statutory regulations and medical terminology.
    • Analytical skills.
    • Excellent written and verbal communication skills, including ability to convey technical details to claimants, clients and staff.
    • Ability to interact with persons at all levels in the business environment.
    • Ability to independently and effectively manage very complex claims.
    • Proficient in Word and Excel (preferred).

    Other Qualifications

    • OR/WA certification or ability to become certified in OR/WA
  • Just Posted

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Experienced Workers Compensation Claims Specialist
  • Liberty Mutual Insurance
  • Oswego, OR FULL_TIME
  • Pay PhilosophyThe typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this ...
  • 11 Days Ago

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Associate Claims Specialist-Workers Compensation
  • Liberty Mutual Insurance
  • Oswego, OR FULL_TIME
  • Pay PhilosophyThe typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this ...
  • 11 Days Ago

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Workers Compensation Claims Examiner II
  • Tristar Insurance
  • Oswego, OR OTHER
  • Job Details Level: Experienced Job Location: Portland - Lake Oswego, OR Position Type: Full Time Education Level: High School Diploma or GED Salary Range: $62,000.00 - $72,000.00 Salary/year Travel Pe...
  • 28 Days Ago

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Workers Compensation Claims Examiner II
  • TRISTAR RISK MANAGEMENT
  • Oswego, OR FULL_TIME
  • IN OFFICE POSITION- Oregon Washington certification or ability to become certified Please sign the application at the end POSITION SUMMARY: Under minimal supervision, manages all aspects of indemnity ...
  • 30 Days Ago

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Associate Claims Specialist-Workers Compensation
  • Liberty Mutual
  • Oswego, OR FULL_TIME
  • Pay Philosophy The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this...
  • 1 Month Ago

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WORKERS COMPENSATION MANAGER
  • JBS USA Holdings, Inc.
  • Green Bay, WI
  • About Us: JBS USA is a leading global provider of diversified, high-quality food products, including a portfolio of well...
  • 6/11/2024 12:00:00 AM

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HR Coordinator
  • Ultimate Staffing
  • Tempe, AZ
  • Well established Facilities maintenance company is seeking a bi-lingual HR coordinator to work on site in Tempe Office. ...
  • 6/10/2024 12:00:00 AM

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Workers Compensation Claims Manager
  • ProService Hawaii
  • Honolulu, HI
  • JOIN OUR PROHANA Listed as one of Hawaii's Best Places to Work for over 17 years and Hawaii's Top 250 Businesses, at Pro...
  • 6/9/2024 12:00:00 AM

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Entry Level Workers Compensation Specialist
  • Aerotek
  • Tempe, AZ
  • Aerotek has an immediate opening for a Claims Review Specialist - Workers Compensation at the corporate office in Tempe,...
  • 6/9/2024 12:00:00 AM

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Workers' Compensation Claim Manager
  • Opportunities at MEMIC
  • Portland, ME
  • MEMIC is seeking an experienced manager to join our team in Maine. This position requires 2x a week in the Portland offi...
  • 6/8/2024 12:00:00 AM

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Workers' Compensation Manager
  • University of Utah
  • Salt Lake City, UT
  • Details Open Date 05/28/2024 Requisition Number PRN38708B Job Title Manager, Program(s) Working Title Workers' Compensat...
  • 6/8/2024 12:00:00 AM

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WORKERS COMPENSATION MANAGER
  • The Judge Group
  • Green Bay, WI
  • About Us:JBS USA is a leading global provider of diversified, high-quality food products, including a portfolio of well-...
  • 6/8/2024 12:00:00 AM

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Workers Compensation Manager
  • Muslusky Law
  • Las Vegas, NV
  • Job Description Job Description The ideal candidate should have A minimum of 2 years of experience handling claims in a ...
  • 6/7/2024 12:00:00 AM

Oregon (/ˈɒrɪɡən/ (listen) ORR-ih-gən) is a state in the Pacific Northwest region on the West Coast of the United States. The Columbia River delineates much of Oregon's northern boundary with Washington, while the Snake River delineates much of its eastern boundary with Idaho. The parallel 42° north delineates the southern boundary with California and Nevada. Oregon is one of only four states of the continental United States to have a coastline on the Pacific Ocean. Oregon was inhabited by many indigenous tribes before Western traders, explorers, and settlers arrived. An autonomous government ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Workers' Compensation Claims Manager jobs
$87,124 to $112,545

Workers' Compensation Claims Manager in Raleigh, NC
During the interview As Workers Compensation Claims Manager process employers will want to find out how you respond to supervision.
January 14, 2020
Workers' Compensation Claims Manager in Long Beach, CA
Where do you see your career in five years As Workers Compensation Claims Manager.
February 05, 2020
Workers' Compensation Claims Manager in Tuscaloosa, AL
Some of this is within the control of claims and defense counsel, and much isn't.
February 12, 2020