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Claims Representative

  • Location: Las Vegas, Nevada, 89129
  • Salary: 24.48
  • Job Type:Contract

Posted 26 days ago

Terrific Opportunity!
Title: Claims Representative
Location: Las Vegas, NV 89129
Term: 1 Month Contract

Day-to-Day 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

Is this a good fit? (Requirements):
  • 3 years of claims management experience or successful completion of Claims Representative training required
  • 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 skills
  • Good interpersonal 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
  • Licenses as required
  • Customer Service experience

If this sounds like the perfect fit, Apply Today!