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Claims Representative General liability bodily injury temp

Infolob

This is a Full-time position in Atlanta, GA posted November 9, 2021.

Job Title: Claims Representative
Atlanta, GA

Start: 05/24/2021

End: 09/30/2021

Duration: 4 Months

Pay Rate: $35/hr

Schedule Notes:

General liability bodily injury temp needed.

Will need to report in to the office.

Description:

· To analyze mid
– and higher-level workers compensation or general liability 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.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

· Manages general liability claims by gathering information to determine liability exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.

· 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.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

· Performs other duties as assigned.

· Supports the organization”s quality program(s).

· Travels as required.

Education & Licensing

· Bachelor”s degree from an accredited college or university preferred.

Licenses as required.

· Experience

· Three (3) years of claims management experience or successful completion of Claims Representative training required.

Skills & Knowledge

· Knowledge of regulations, offsets and deductions, disability duration, medical management practices and Social Security and Medicare application procedure as applicable to line of business

· Excellent oral and written communication, including presentation skills

· PC literate, including Microsoft Office products

· Analytical and interpretive skills

· Strong organizational skills

· Good interpersonal skills

· Ability to work in a team environment

· Ability to meet or exceed Service Expectations

Skills:

· Customer Service

· Required Skills:

· CLAIMS

· CLAIMS REPRESENTATIVE

Job Type: Full-time

Pay: Up to $35.00 per hour

Schedule:
8 hour shift
Ability to Commute/Relocate:
Atlanta, GA: Reliably commute or willing to relocate with an employer-provided relocation package (Required)
Application Question(s):
please do share your best number email and time to connect
Education:
Bachelor’s (Required)
Experience:
General liability bodily injury: 1 year (Required)
claims: 3 years (Required)
Work Location:
Multiple locations
Work Remotely:
No


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