Workers' Compensation Claims Manager jobs in Clarksville, TN

Workers' Compensation Claims Manager manages accountabilities in the administration of first and third party worker's compensation claims. Manages domestic and/or international claim management strategies critical to the organization's success. Being a Workers' Compensation Claims Manager is responsible for reporting, investigation, and analysis; litigation management; resolution/outcome management; and the delivery of claim information. Manages litigated and moderately complex claims and is entrusted with significant settlement authority. Additionally, Workers' Compensation Claims Manager creates and develops relationships with claims adjusters, insurers, outside legal counsel, and other claims related parties. Directs workers' compensation claims policies and procedures within the claim information analysis. Requires a bachelor's degree. Typically reports to a head of a unit/department. The Workers' Compensation Claims Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Workers' Compensation Claims Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

T
Workers Compensation Specialist
  • Tennessee Orthopaedic Alliance
  • Clarksville, TN FULL_TIME
  • Description

    Tennessee Orthopaedic Alliance is the largest orthopaedic surgery group in Nashville and Middle Tennessee. TOA concentrates on the diagnosis and treatment of disorders and injuries of the musculoskeletal system which allow our patients to live their best life. Ninety plus years later we are advancing the practice of orthopaedic surgery throughout the state.


    There are a number of reasons why TOA is an employer of choice; here are a few of them:

    • Stability - TOA has been in Middle Tennessee since 1926 and has expanded to nearly 20 locations!
    • Impact - TOA’s team members use our careers – whether in our clinics or our business office – to make a positive difference in the community by building relationships and helping patients live their best life.
    • Work Environment - The TOA team focuses on fostering an excellent working environment; one of positivity, collaboration, job satisfaction, and engagement.
    • Total Rewards - TOA offers competitive salaries based on the current Middle Tennessee wage market, plus a comprehensive suite of benefits, including Medical, Dental, Paid Time Off, and more. Our 401(k) plan provides a company match, safe harbor match and profit sharing match to go along with your contributions.


    TOA is seeking a Workers' Compensation Specialist, a high-performing individual who will focus on serving those TOA patients who are utilizing Workers' Compensation benefits. This role provides coordination between patients, TOA, and Workers' Compensation carriers to ensure care is scheduled appropriately and free from complication. The Workers' Compensation Specialist reports directly to the site manager, but may have interaction with to the Director of Workers Compensation.

    • Field initial outreach from injured workers or their employers to facilitate services by TOA
    • Obtain authorization and pre-certification for services such as examinations, physical therapy, diagnostics and other ancillary services
    • Schedule workers’ compensation appointments, follow-up appointments, and coordinate the scheduling of ancillary services
    • Work closely with employers, insurance adjusters, attorneys, an physicians to communicate and collaborate on workers' compensation case issues
    • Manage the workflow of assigned workers' compensation cases, including telephone and email inquiries from employers, insurance carriers, and case managers, attorneys regarding injured worker
    • Obtain information and entering pertinent data into our computer systems – including the completion and timely distribution of necessary documentation to the proper party

    Requirements

    • A Bachelors Degree is preferred, and a high school diploma or equivalent is required.
    • At least one year medical office administration or clinical experience is preferred, with demonstrated success understanding some experience with Workers' Compensation or an orthopaedic office a plus
    • Exceptional customer service and patient focus. Our Workers' Compensation Specialists must make each encounter as positive as possible, realizing we are there to serve patients, their employers, and other stakeholders in the most professional manner
    • Multi-tasking and successfully operating in a fast-paced environment, with the demonstrated ability to handle a high volume of telephonic inquiries and documentation workflow with a high degree of accuracy
    • Knowledge of Insurance, particularly workers compensation and health insurance provisions is essential,
    • Previous experience including collecting co payment, deductibles, coinsurance, and balances
    • Knowledge of administrative and clerical procedures, including experience with computer systems. Experience with an EHR or NextGen is a plus
    • Focus on attention to detail, ensuring that all documentation is entered accurately and swiftly
    • The ability to multi-task and maintain flexibility – including flexibility in work schedules to adjust to necessary clinic hours
    • Collaboration, working closely with clinical colleagues and administrative team mates to develop a cohesive, high performing team
    • An energetic and enthusiastic pace at work, with the ability to swiftly and accurately manage the flow of patients through the clinic, without any diminishing focus on patient care Dependability, with a reliance on the capacity to be at work on-time, every day so our patients can receive the care they need in a timely manner

    TOA is an equal opportunity employer. TOA conducts drug screens and background checks on applicants who accept employment offers

  • 1 Month Ago

T
Compensation specialist
  • Tennessee Orthopaedic Alliance
  • Clarksville, TN FULL_TIME
  • Job Type Full-time Description Tennessee Orthopaedic Alliance is the largest orthopaedic surgery group in Nashville and Middle Tennessee. TOA concentrates on the diagnosis and treatment of disorders a...
  • 25 Days Ago

R
Worker's Compensation Legal Assistant
  • Rocky McElhaney Law Firm
  • Clarksville, TN FULL_TIME
  • Looking for a Legal Assistant with Gladiator Skills! Title: Worker's Compensation Legal Assistant Hours: Full-time position Schedule: Monday through Friday from 8:00 am to 5:00 pm Salary: Depends on y...
  • 13 Days Ago

F
Virtual Sales Representative - Remote Role, Best Compensation, With Training
  • F2 National
  • Clarksville, TN FULL_TIME
  • Are you in search of your next Sales opportunity?We're currently on the lookout for dynamic and self-motivated individuals to join our expanding team in the role of Virtual Sales Representative on a 1...
  • 8 Days Ago

M
Independent Insurance Claims Adjuster in Dickson, Tennessee
  • MileHigh Adjusters Houston Inc
  • Dickson, TN FULL_TIME
  • ADJUSTERS NEEDED NOW FOR ALL STORM RELATED SEASONS!Independent Insurance Claims Adjusters Needed Now! This is a HUGE opportunity for you, since there is currently a HIGH DEMAND forNEW ADJUSTERS AND NE...
  • 10 Days Ago

M
Independent Insurance Claims Adjuster in Clarksville, Tennessee
  • MileHigh Adjusters Houston Inc
  • Clarksville, TN FULL_TIME
  • ADJUSTERS NEEDED NOW FOR ALL STORM RELATED SEASONS!Independent Insurance Claims Adjusters Needed Now! This is a HUGE opportunity for you, since there is currently a HIGH DEMAND forNEW ADJUSTERS AND NE...
  • 10 Days Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Workers' Compensation Claims Manager jobs found in Clarksville, TN area

P
Staffing Specialist
  • PeopleReady
  • Clarksville, TN
  • Job Description We are searching for a motivated individual who enjoys variety in their day and thrives in a fast-paced ...
  • 3/29/2024 12:00:00 AM

A
Manager, Risk LPN
  • AHC Clarksville LLC
  • Clarksville, TN
  • Join our Community as a RN/LPN Risk Manager! As a RN/LPN Risk Manager at American Health Communities you will ensure pat...
  • 3/29/2024 12:00:00 AM

U
Family Nurse Practitioner / Physician Assistant at Ascension Saint Thomas Urgent Care
  • Urgent Team Management
  • Clarksville, TN
  • Ascension Saint Thomas Urgent Care is looking for dedicated, compassionate, and experienced Nurse Practitioners or Physi...
  • 3/29/2024 12:00:00 AM

S
Payroll Specialist
  • Southern Land Company
  • Nashville, TN
  • Job Description Job Description Why Southern Land? Our full-service company is comprised of planning, architecture, desi...
  • 3/26/2024 12:00:00 AM

H
Payroll Specialist
  • HireTalent
  • Nashville, TN
  • Job Description Job Description We are looking for a strong Payroll Administrator / Payroll Specialist to join our team....
  • 3/25/2024 12:00:00 AM

G
Benefits Sales Representative
  • Groupmgmt
  • Nashville, TN
  • Benefits Sales Representative Summary Title:Benefits Sales Representative ID:4005028Company:GMSLocation:NashvilleJob Sta...
  • 3/25/2024 12:00:00 AM

C
Transportation Engineer 3-Roadways
  • CDM Smith
  • Clarksville, TN
  • **37491BR** **Requisition ID:** 37491BR **Business Unit:** TSU **Job Description:** Join CDM Smith and make a difference...
  • 3/25/2024 12:00:00 AM

C
Senior Specification Writer
  • CDM Smith
  • Clarksville, TN
  • **37483BR** **Requisition ID:** 37483BR **Business Unit:** TSU **Job Description:** CDM Smith is an engineering and cons...
  • 3/25/2024 12:00:00 AM

Clarksville is the county seat of Montgomery County, Tennessee, United States. It is the fifth-largest city in the state behind Nashville, Memphis, Knoxville, and Chattanooga. The city had a population of 132,929 at the 2010 census, and an estimated population of 153,205 in 2017. It is the principal central city of the Clarksville, TN–KY metropolitan statistical area, which consists of Montgomery and Stewart Counties in Tennessee, and Christian and Trigg Counties in Kentucky. The city was founded in 1785 and incorporated in 1807, and named for General George Rogers Clark, frontier fighter and ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Workers' Compensation Claims Manager jobs
$77,364 to $99,936
Clarksville, Tennessee area prices
were up 1.3% from a year ago

Workers' Compensation Claims Manager in Rockford, IL
The title of Nurse Case Manager is the most frequently used name for the role, but like workers’ comp adjusters are sometimes referred to as claim examiners, there are other names for the NCM. In some insurance companies the role is referred to as the “workers compensation case manager” or “injury management facilitator” or “field case manager” (FCM) if most of the work is done away from the office, or “telephonic case manager” (TCM) if the work is done in the office by using the telephone.
December 07, 2019
Workers' Compensation Claims Manager in Mcallen, TX
The Division contracts with a third-party administrator for the processing of state employees’ workers’ compensation claims through a managed-care framework that includes a provider network and pharmacy management. The Division’s staff monitors the work done by the administrator and acts as a liaison between state employees, the third party administrator, and medical providers.
February 08, 2020
Workers' Compensation Claims Manager in Salt Lake City, UT
Some employers will have workers fill out an incident report, while others will be satisfied with just a simple written or emailed notification.
January 27, 2020