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Workers' Compensation Claims Representative

workfromhome • Posted 4 days ago
Remote Full Time Business and Financial Operations Occupations

Managing a caseload of high-exposure workers' compensation claims, the full-time remote Workers' Compensation Claims Representative III will oversee advanced medical case management, develop tailored Return-to-Work plans, and collaborate with various stakeholders to ensure compliance and negotiate settlements. Key responsibilities Manage complex workers' compensation claims involving high financial exposure and sensitive issues Oversee advanced medical case management and coordinate with Nurse Case Managers and external vendors Evaluate and negotiate settlements, including structured settlements and Medicare compliance Required qualifications High school diploma or equivalent required; bachelor's degree preferred Associate in Claims (AIC) designation preferred Valid driver's license required; Texas-All Lines license preferred 3-5 years of claims handling experience, primarily in Workers' Compensation Experience in Missouri preferred

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