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Workers' Compensation Claims Manager

Workers' Compensation Claims Manager

Job ID 
2018-4504
Company 
Grane Healthcare
Location 
US-PA-Pittsburgh
Posted Date 
4/20/2018
Category 
Management
Type 
Regular Full-Time
Education Level 
Bachelor's Degree
Experience Needed 
More than 5 years
Salary Info 
Based on Experience

More information about this job

Overview

Workers’ Compensation Claims Manager

Full Time

 

Grane Health Care is seeking a Workers' Compensation Claims Manager with three plus years’ experience to join our risk management team and proactively manage our workers' compensation claims.  

Responsibilities

Responsibilities:

  • Manage all workers' compensation claims to their most cost effective resolution by acting as liaison between company locations, third party claims administrator, medical providers and vendors from claim inception to conclusion 
  • Work with Grane's third-party claims administrator, or TPA, to investigate compensability, provide medically necessary care, approve claim reserves and coordinate action plans for resolving claims.
  • Oversee TPA to ensure that claims are managed proactively and timely, that special handling instructions are followed and that reserves are established accurately
  • Ensure compliance with Grane's safety and return-to-work programs.
  • Provide workers' compensation support and training to team members at various locations
  • Work with local defense counsel on all litigated claims to provide requested information and to develop a cost effective litigation strategy.
  • Manage vendor costs that support the workers compensation program.

Qualifications

 

Qualifications:

  • 3+ years of experience managing Pennsylvania workers compensation claims
  • Clinical experience and/or nurse licensure preferred
  • Bachelors degree or equivalent experience required with excellent written and verbal communication skills
  • Comprehensive knowledge of medical terminology and procedures
  • Proficient in the use of Windows-based applications.

 

 

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