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CLevelCrossing
Atlanta, GA, United States
u003cpu003eOliver James is working with a global insurance organisation that is looking to hire an u003cstrongu003eAVP of Workers Compensation Claimsu003c/strongu003e. This is a leadership role and you will be responsible for managing up to 5 workers compensation claims adjusters, to ensure team development and an excellent claims service at all ti
Job Source: CLevelCrossingSedgwick
Atlanta
Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support
Job Source: SedgwickSedgwick
Atlanta
Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support
Job Source: SedgwickFarah & Farah, P.A.
Atlanta, GA, United States
Overview: Farah & Farah is growing in Gerogia! Farah & Farah is the premier personal injury law firm in Georgia and Florida, built upon the foundations of honesty, hard-work, and experience our clients can trust. Proudly headquartered in downtown Jacksonville, Farah & Farah has recovered millions for our clients. The attention we give to our clie
Job Source: Farah & Farah, P.A.Bader Scott Injury Lawyers
Atlanta, GA, United States
Worker’s Compensation Associate Attorney Bader Scott Injury Lawyers is Atlanta's fastest growing law firm. Located in the heart of Buckhead, we serve all of the metro area in both Personal Injury and Workers' Compensation law. We seek every day to live our mission of inspiring hope and empower people- one client, one family, one community at a tim
Job Source: Bader Scott Injury LawyersSCP ENT & Allergy Services, LLC
Atlanta, GA, United States
The Billing specialist is responsible for billing process for patients. Their duties include reviewing and posting charges daily, review and resolve clearinghouse rejections, review and correct any charges in the various ques within the EMR such as pending, pending with errors and clearinghouse rejected. Major duties and responsibilities: Ability t
Job Source: SCP ENT & Allergy Services, LLCZurich NA
Atlanta
Workers' Compensation Defense Attorney 114066 Zurich is seeking a successful Sr. Workers’ Compensation Defense Attorney to work out of our Atlanta, GA Staff Legal office. If you are ready for a career move, consider working for a company with a global footprint that offers an excellent work/life balance, terrific benefits including a 401K match and
Job Source: Zurich NABCG Attorney Search
Atlanta, GA, United States
A law firm is seeking a personable and highly motivated Junior Worker’s Compensation Attorney to join its team in Atlanta, GA. The successful candidate will be responsible for managing approximately 150 cases, working closely with a team of Legal Assistants, and handling various aspects of worker’s compensation litigation. This position requires a
Job Source: BCG Attorney SearchAtlanta, GA, United States
Requisition #:195090
Location:Atlanta, GA 30339
Category:Compliance
Salary:$45,000 - $55,000 per year
Position Details
Position Overview
The Workers Compensation Claims Specialist is responsible for the being the liaison between the Aveanna Field Staff and the third party administrator. This role will require investigation of claims and insurance that our third party administrator is managing the claims in an effect manner. This position will resolve claims according to Best Practices and within authority limits by following established protocols to ensure that claims are handled in the most efficient, effective way while delivering excellent customer claims service.
Essential Job Functions
Investigating, reviewing, evaluating, and administering workers' compensation claims
Reviewing medical reports
Setting reserves
Filing documentation
Reviewing and approving medical bills for payment
Reviewing accident and injury reports
Interviewing and correspond with claimants, witnesses, attorneys, and physicians
Approving claims or recommending denial
Representing Aveanna at various workers' compensation and industrial leave claims actions and hearings
Perform other duties as assigned
Requirements
High School Diploma and 5 years or more experience in Claims and Litigation OR a Bachelor's Degree and 4 years' experience in Claims and Litigation
Knowledge of claims handling and legal statutes and procedures
Customer service experience
Workers Comp experience in California, Texas, and Pennsylvania and non-subscriber claim experience highly preferred
Other Skills/Abilities
Attention to detail
Time Management
Effective problem-solving and conflict resolution
Good organization and communication skills
Physical Requirements
Must be able to speak, write, read and understand English
Occasional lifting, carrying, pushing and pulling of 25 pounds
Prolonged sitting, walking, standing, bending, kneeling, reaching, twisting
Must be able to sit and climb stairs
Must have visual and hearing acuity
Must have strong sense of smell and touch
Environment
Performs duties in an office environment during agency operating hours
Must be able to function in a wide variety of environments which may involve exposure to allergens and other various conditions
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Vaccination Requirement
As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
Headhunters and recruitment agencies may not submit resumes/CVs through this website or directly to managers. Aveanna does not accept unsolicited headhunter and agency resumes, and will not pay fees to any third-party agency or company that does not have a signed agreement with Aveanna.
As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
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Email Alert for Workers Compensation Claims Specialist jobs in Atlanta, GA, United States
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