BaltimoreRecruiter
the smart solution for Baltimore jobs

Examiner, Senior Workers Compensation Claims

Company: York Risk Services Group
Location: Baltimore
Posted on: November 11, 2018

Job Description:

Employer is a premier provider of insurance, risk management, alternative risk, pool administration and claims management solutions to clients across hundreds of industries. Recently named by Forbes as one of "America's Best Midsized Companies Two Years in a Row" We firmly believe that our employees drive the success of the company. With success in mind as the ultimate goal, we strive to create and provide an environment that offers challenging, stimulating and financially rewarding opportunities.Job DescriptionA Senior Workers Compensation Claims Examiner is an experienced claims examiner who works under only general supervision and utilizes his or her training to review, examine, investigate, analyze and resolve workers compensation claims. As set forth in greater detail below, the examiners primary duties are interviewing witnesses and assessing credibility; reviewing factual information to prepare reserves and damage estimates; evaluating and making recommendations regarding coverage of claims; determining liability and total value of a claim; negotiating settlements; and making recommendations regarding litigation and assisting managers with management and mentoring functions.This position functions with a high level of claim-management and financial autonomy and performs a variety of complex technical duties within the general limitations of State Workers Compensation laws, Yorks best practices, and client service instructions. A Senior Workers Compensation Claims Examiner also assists the Unit Manager with mentoring, onboarding new hires and functions as a back up to the Unit Manager as needed.1. Reviews, examines, investigates, analyzes and resolves workers compensation claims;.2. Develops strategic action plans to bring claims to prompt and equitable resolution.3. Identifies key interested parties and obtains recorded statements as necessary. a. Assesses witnesses credibility.b. Analyzes and resolves conflicts in the evidence.c. Determines claim compensability based on witness statements and other evidence.4. Establishes appropriate reserve levels based on his/her estimate of financial exposure and updates reserves upon receipt of new information within the even greater financial authority afforded to Senior Workers Compensation Claims Examiners.5. Accepts or delays claims and makes recommendations to manager regarding claim denials.6. Accurately determines average weekly wages and workers compensation benefit rates and pays benefits timely.7. Directs Claims Assistant(s) to issue notices and makes payments in accordance with State mandated requirements. 8. Interacts with injured employees to ensure awareness and understanding of the workers compensation process, requirements and statutory benefits.9. Coordinates medical treatment for injured employees and interacts with medical providers regarding employees medical history and job requirements.10. Assesses subrogation potential and pursues reimbursement.11. Negotiates claim settlements within established limits.a. Weighs the costs and benefits of going to trial versus entering into a settlement and chooses the most effective option.b. Presents settlement recommendations to client(s), if required.c. Independently resolves liens without defense attorney involvement.12. Serves as a liaison between medical providers, claimants, legal professionals and clients. 13. Informs clients of injured employees work restrictions and coordinates appropriate accommodations.14. Reviews medical reports to ensure that the appropriate American Medical Association (AMA) guidelines have been applied when rating permanent impairment.15. Communicates with defense attorneys and clients on litigated cases and develops strategies for claim resolution. 16. Litigation Management:a. Decides when to retain counsel.b. Develops litigation strategy with counsel.c. Supervises the litigation process.d. Prepares or reviews legal documents for submission to the Workers Compensation Board.e. Manages BS/BA or Equivalent Work ExperienceProfessional certification and/or adjusting license as required by the State(s)5 years or more as a workers compensation claims adjuster

Keywords: York Risk Services Group, Baltimore , Examiner, Senior Workers Compensation Claims, Other , Baltimore, Maryland

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Other Jobs


NOW INTERVIEWING! Independent Representatives to WORK FROM HOME!!
Description: Ameriplan Health Plan company is currently looking for bright, intelligent people to work
Company: Ameriplan
Location: Wilmington
Posted on: 11/21/2018

Part-Time Delivery - Uber Eats
Description: Delivering with Uber is an easy way to earn money in your spare time. You sign up, deliver whenever it works for you, and get paid every week.Why deliver with Uber ul li Flexibility: With Uber, you (more...)
Company: Uber Eats
Location: Wilmington
Posted on: 11/21/2018

Appointment Setter-Work From Home
Description: We are currently interviewing for individuals to set appointments process enrollments for a large dental company. Work
Company: Kuneman Enterprises
Location: Wilmington
Posted on: 11/21/2018


Currently Interviewing-Flexible Schedules
Description: Scheduling Interviews Now seeking upbeat and motivated individuals to join our award winning
Company: TQS
Location: Wilmington
Posted on: 11/21/2018

Representatives Needed
Description: Nationwide healthcare programs company looking for people to work from home. Must have telephone
Company: Ameriplan
Location: Wilmington
Posted on: 11/21/2018

25N Nodal Network Systems Operator-Maintainer
Description: As a Nodal Network Systems Operator-Maintainer for the Army National Guard, you can expand your technological skillset while serving your Nation at the same time The Guard relies on many complex systems (more...)
Company: Army National Guard
Location: Wilmington
Posted on: 11/21/2018

Work at home representative
Description: Nationwide healthcare programs company is looking for people to work at home Must have telephone
Company: Ameriplan
Location: Wilmington
Posted on: 11/21/2018

Work at Home with Benefits
Description: Our company is currently interviewing for Benefit Consultants. We have been in business for 25 years
Company: Ameriplan
Location: Wilmington
Posted on: 11/21/2018

Have Professional Childcare Experience? Full Time Nannies Needed!
Description: Seeking a full-time job Would you enjoy working with a variety of families and children Be a Staff Nanny in the Elite Nanny Program for Corporate Backup Care Here's what we offer: - Full-time employment (more...)
Company: Philadelphia Nanny Network
Location: Wilmington
Posted on: 11/21/2018

Benefits Specialist
Description: Come and join a successful team of representatives for the largest benefits company nationwide. We offer flexible schedules
Company: AmeriplanUSA
Location: Wilmington
Posted on: 11/21/2018

Log In or Create An Account

Get the latest Maryland jobs by following @recnetMD on Twitter!

Baltimore RSS job feeds