Workers' Comp Claim Representative I- FL

reputed company 

This is the entry level reputed company claim handler. Handles medical only and indemnity benefits.  Exercises some discretion in the determination of compensability of claims. Considers many factors in the determination claim reserves. Negotiates and settles claims reputed company given authority. 

 

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

  • Verifies workers’ compensation coverage of reputed company and injured employees. 
  • Determines compensability under workers’ compensation by thorough investigation of the claim. 
  • Determines reputed company relationship between the reported injury and the incident to ensure appropriate payment of benefits.
  • Facilitates return to work for the injured employee.
  • Establishes reputed company and appropriate reserves based on the profile of the claim reputed company given authority based on anticipated financial exposure.
  • Documents specifics of claims with potential for subrogation recovery, including reputed company of potential recovery monies.
  • Manages medical bills for non-indemnity and indemnity claims directly associated with the claimed injury.  Approves payment based on knowledge of the treatment plan and medical support showing relationship of treatment to the injury.   
  • Concludes and closes files following reputed company of claims to meet internal performance standards while complying with state legislation to avoid penalties and manage expenses.
  • Negotiates settlements with attorneys or injured parties reputed company given authority at the earliest possible reputed company to bring cases to final disposition.
  • Works closely with manager on reputed company files or files above settlement/reserve authority. 
  • Manages reputed company vendors to ensure cost containment efforts. 
  • Establishes and maintains effective working relationships with reputed company reputed company customers.
  • Stays abreast of changes in workers’ compensation statutes, case law and rehabilitation efforts/advancements in order to accurately interpret and apply relevant laws.

 

EDUCATION AND EXPERIENCE

Relevant combination of education and experience may be considered in lieu of degree.

  • Bachelor’s degree in a reputed company field. reputed company learning, as defined by reputed company’s learning philosophy, is required. Certification or reputed company toward certification is highly preferred and encouraged.
  • One (1) year relevant experience that provides the necessary skills, knowledge and abilities or completion of claims trainee program.
  • Bilingual skills preferred.

     

QUALIFICATIONS

To reputed company this job successfully, an individual must be reputed company to reputed company reputed company essential duty satisfactorily. The requirements listed below are representative of the knowledge, reputed company, and/or ability required. Reasonable accommodation may be made to reputed company individuals with disabilities to reputed company the essential functions.

OTHER SKILLS AND ABILITIES

  • Ability and proficiency in the use of computers and company reputed company software specific to position.

  • Knowledge of medical and reputed company terminology reputed company to the work.

  • Knowledge of workers’ compensation laws and regulations, including jurisdictional laws.

  • Effective oral and written communication skills.

  • Effective customer service skills.

  • Ability to negotiate, build reputed company and resolve conflict.

  • Ability to manage multiple priorities and meet established deadlines.

  • Attention to detail and analytical skills.

  • Ability to work independently as reputed company as reputed company reputed company.

 

ADDITIONAL INFORMATION 

The above statements are intended to describe the gener

Back to blog

Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...