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Claims Adjuster - Workers Compensation - Remote

Posted 16 days ago

  • Expiry Date: 06 October 2023
  • Referral: 231302@accuick.com

"All candidates must be directly contracted by ASK Consulting on their payroll and cannot be subcontracted. We are unable to provide sponsorship at this moment".

Job Description:

Basic Qualifications for Consideration:

  • Bachelor's degree from an accredited college or university preferred.  

Experience

  • Four (4) years of claims management experience or equivalent combination of education and experience required.

  • Candidate should live in the state of NV and have NV license to handle WC claims.

  • & 4+ years of relevant NV WC claims experience.

Essential functions and Responsibilities:

Manages workers' compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency. Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments. Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract. Manages subrogation of claims and negotiates settlements. Communicates claim action with claimant and client. Ensures claim files are properly documented and claims coding is correct. May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review. Maintains professional client relationships. 

Primary Purpose:   

To analyze mid- and higher-level workers' compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements. 

About ASK: ASK Consulting is an award-winning technology and professional services recruiting firm servicing Fortune 500 organizations nationally. With 5 nationwide offices, two global delivery centers, and employees in 42 states-ASK Consulting connects people with amazing opportunities

ASK Consulting is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all associates.