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Claims Adjuster - Workers Compensation

  • Location: King of Prussia, Montgomery County, Pennsylvania, 19406-2849
  • Salary: 27.47
  • Job Type:Contract

Posted about 1 month ago

Long term contract Opportunity!
 
Title: Claims Adjuster
Location: King of Prussia, PA 19406
Term: 4 Months Contract


Day-to-Day Responsibilities:
 

  • 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
  • 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


Is this a good fit? (Requirements):
 

  • 4 years of claims management experience or equivalent combination of education and experience required
  • Working knowledge of regulations, offsets and deductions, disability duration, medical management practices and Social Security and Medicare application procedure as applicable to line of business
  • PC literate, including Microsoft Office products
  • Analytical and interpretive skills
  • Strong organizational skill
  • Good interpersonal skills
  • Excellent negotiation skills
  • Ability to work in a team environment
  • Ability to meet or exceed Service Expectations
  • Bachelor's degree from an accredited college or university preferred


If this sounds like the perfect fit, Apply Today!

Candidates will be responsible for following the client's COVID-19 protocols. Please refer to your MATRIX representative for specifics.

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MATRIX is and Equal Employment Opportunity employer and provides reasonable accommodations for qualified individuals.  Supporting medical or religious documentation will be required where applicable. If you are a qualified individual with a disability, you may request a reasonable accommodation under the American Disability Act (ADA) by emailing MATRIX_HR@MatrixRes.com. To ensure a quick response to your request, please use the words “Accommodation request” as the subject line of your email.