Claims Adjuster - Workers Compensation

BCForward is looking for Care Coordinator- Remote FL

Job Title: Claims Adjuster - Workers Compensation

Location: Remote

Position Type: Contract

Duration: 03 Months

Pay Rate: $44.00 on W2

Job Description:

We are seeking an experienced Claims Adjuster - Workers Compensation to join our team for a potential Temp to Perm opportunity in Orlando, FL. The ideal candidate will have 3 years of workers' compensation claims handling experience in multiple Southeastern states. Only workers' compensation experience will be considered, no other lines of business.

Primary Purpose:

To analyze mid- and higher-level workers' compensation claims to determine benefits due, ensure ongoing adjudication of claims within company standards, and identify subrogation opportunities while negotiating settlements.

Essential Functions and Responsibilities:

• Manage workers' compensation claims, determining compensability and benefits due on long-term indemnity claims.
• Monitor reserve accuracy and file necessary documentation with state agencies.
• Develop and manage claims action plans to resolution, coordinating return-to-work efforts and approving claim payments.
• Approve and process assigned claims, determining benefits due, and manage the action plan per the claim or client contract.
• Manage subrogation of claims and negotiate settlements.
• Communicate claim actions with the claimant and client.
• Ensure proper documentation of claim files and accurate claims coding.
• Process complex lifetime medical and/or defined period medical claims, including state and physician filings.
• Maintain professional client relationships.

Additional Functions and Responsibilities:

• Perform other duties as assigned.
• Support the organization's quality programs.
• Travel as required.

Education & Licensing:

• Bachelor's degree preferred, but not required.

Experience:

• 4 years of claims management experience or an equivalent combination of education and experience.

Skills & Knowledge:

• Working knowledge of workers' compensation regulations, offsets and deductions, disability duration, medical management practices, and Social Security and Medicare procedures.
• Strong verbal and written communication skills.
• Proficient in Microsoft Office and other PC-based applications.
• Analytical and interpretive skills.
• Excellent organizational, interpersonal, and negotiation skills.
• Ability to work effectively in a team environment and meet service expectations.

Benefits
BCforward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.

About BCforward:

Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.

BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.

BCforward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.

To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.

Interested candidates please send resume in Word format Please reference job code 235779 when responding to this ad.

Salary : $40 - $44