What are the responsibilities and job description for the Claims Examiner. Workers' Comp II position at Amergis?
Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any hospital, government facility, or school. Through partnership and innovation, Amergis creates unmatched staffing experiences to deliver the best workforce solutions.
The Claims Examiner Workers’ Comp II monitors claims through litigation process, making decisions on reserve adjustments, plans of action, and settlements.
Essential Duties and Responsibilities :
- Handles pending and new lost time Workers’ Compensation claims to resolution
- Participates in conference calls with local offices, third-party administrators (TPAs), medical providers, and other Amergis employees in order to communicate status plans
- Monitors TPA’s file resolution plans
- Controls all financial aspects of assigned claims files
- Escalates claims to Claims Examiner II in the event of litigation
- Monitors lost time and transitional duty opportunities
- Coordinates with Benefits during employee’s absence
- Coordinates with state programs and internal departments for transitional duty
- Educates branch offices about all aspects of Workers’ Compensation
- Assists Workers’ Compensation Manager in achieving overall department goals
- Performs other duties as assigned / necessary
Minimum Requirements :
At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits :
Medical / Prescription, Dental, Vision, Health Advocacy (company paid if enrolled Medical), Health Advocate Employee Assistance Program, Health Savings Account , 401(k), 401(k) Company Match, Profit Sharing, Short Term Disability, Long Term Disability, Primary Caregiver Leave, Parental Leave, Life and Basic Accidental Death and Dismemberment Insurance, Voluntary Life and Accidental Death and Dismemberment Insurance, Hospital Expense Protection Plan, Critical Illness Insurance, Accident Insurance, Dependent Care Flexible Spending Account, Home and Auto Insurance, Pet Insurance, MilkStork, Transportation Benefit, Educational Assistance Program, College Partnership Program, Paid Time Off / Company Holidays
Amergis is an equal opportunity / affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.
This posting will remain active on job boards for 5 days from date of posting unless there is a good faith basis to extend the posting date.
Please note that this pay range represents a good faith estimate of the compensation that will be offered for this position based on the circumstances. The actual pay offered to a successful candidate will take into account a wide range of factors, including but not limited to location, experience, and other variable factors.
