Workers' Compensation Claims Manager jobs in Louisiana

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)

S
Claims Representative - Workers Compensation
  • Sedgwick Claims Management Services Inc.
  • Telecommuter LA, LA FULL_TIME
  • Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work. Great Place to Work® Most Loved Workplace® Forbes Best-in-State Employer Claims Representative - Workers Compensation PRIMARY PURPOSE: To process low level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements with general supervision. ESSENTIAL FUNCTIONS and RESPONSIBILITIES: Processes low level 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 coordinates low level workers compensation claims' action plans to resolution, return-to-work efforts, and approves claim payments. Approves and processes assigned claims, determines benefits due, and administers action plan pursuant to the claim or client contract. Administers 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 low-level 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. QUALIFICATION: Education & Licensing: Bachelor's degree from an accredited college or university preferred. Experience: Two (2) years of claims management experience or equivalent combination of education and experience or successful completion of Claims Representative training required. Skills & Knowledge: Performs other duties as assigned. Supports the organization's quality program(s). Travels as required. Developing knowledge of regulations, offsets and deductions, disability duration, medical management practices and Social Security and Medicare application procedure as applicable to line of business Excellent oral and written communication, including presentation skills 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 WORK ENVIRONMENT: When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical: Computer keyboarding, travel as required Auditory/Visual: Hearing, vision and talking NOTE: Credit security clearance, confirmed via a background credit check, is required for this position. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles. Taking care of people is at the heart of everything we do. Caring counts Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing – one where caring counts. Watch this video to learn more about us.
  • 2 Months Ago

C
Senior Claims Examiner - Workers Compensation
  • Crawford & Company
  • Orleans, LA OTHER
  • Excellence In Everything We Touch Position Summary Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. Works within established authority on m...
  • 5 Days Ago

C
Workers' Compensation Claim Adjuster (Hybrid or Remote) (Louisiana Claims)
  • CCMSI
  • Metairie, LA OTHER
  • Overview At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of ...
  • 11 Days Ago

A
Workers Compensation Coordinator
  • Acadian Ambulance
  • Lafayette, LA FULL_TIME
  • Risk Management, a department of Acadian Companies, has an immediate opening for a new full-time Workers Compensation Coordinator in Lafayette, LA. This position will coordinate all aspects of workers...
  • 13 Days Ago

L
Workers' Compensation Legal Assistant
  • Lofton Staffing Services
  • Mandeville, LA FULL_TIME
  • If you are an organizational whiz with high attention to detail and a self starter who thrives in a fast paced, multi-faceted environment, then this may be the career choice for you! Well-established ...
  • 6 Days Ago

S
WORKERS' COMPENSATION DISTRICT JUDGE
  • State of Louisiana
  • Alexandria, LA OTHER
  • Workers’ Compensation District Judge Office of Workers’ Compensation Division: Hearings D2 Location: Rapides, LA Position #: 129530 Announcement #: LWC191547-3-6-24RC Position Information This positio...
  • 8 Days Ago

T
WORKERS COMPENSATION MANAGER
  • The Judge Group
  • Beardstown, IL
  • WORKERS COMPENSATION MANAGERHOURS:Day Shift. Flexible as neededPOSITION DESCRIPTION:Provide information and act as the C...
  • 3/18/2024 12:00:00 AM

T
WORKERS COMPENSATION MANAGER
  • The Judge Group
  • Green Bay, WI
  • About Us:JBS USA is a leading global provider of diversified, high-quality food products, including a portfolio of well-...
  • 3/18/2024 12:00:00 AM

S
W/C Insurance Specialist
  • SA Technologies, Inc.
  • Phoenix, AZ
  • Job Description Title: W/C Insurance Specialist Location: Phoenix, AZ, 85007 Duration: 12 months Client: State of Arizon...
  • 3/18/2024 12:00:00 AM

T
Claims Adjuster - Workers Compensation Lost Time | Remote
  • Theclm
  • Oklahoma City, OK
  • **Claims Adjuster - Workers Compensation Lost Time | Remote** Position : Experienced (Non-Manager) Company : Insurance P...
  • 3/18/2024 12:00:00 AM

I
Worker Compensation Claims Manager
  • Intercare Holdings Insurance Services
  • Rocklin, CA
  • Job Type Full-time Description Summary: Reports directly to the Vice President of Claims. Under the general direction of...
  • 3/16/2024 12:00:00 AM

D
HSE - Workers Comp Associate
  • Dagen
  • Energy company located downtown Houston, TX is looking to find an occupational health specialist. This will report to th...
  • 3/16/2024 12:00:00 AM

C
Workers' Compensation Manager
  • CR&R Incorporated
  • CR&R Incorporated is one of Southern California's most innovative and successful environmental recycling collection comp...
  • 3/15/2024 12:00:00 AM

P
Senior Benefits Specialist
  • PharmaCann Inc
  • PharmaCann, Inc. owns and operates best-in-class production facilities and retail dispensaries for cannabis-based produc...
  • 3/15/2024 12:00:00 AM

Louisiana is bordered to the west by Texas; to the north by Arkansas; to the east by Mississippi; and to the south by the Gulf of Mexico. The state may properly be divided into two parts, the uplands of the north, and the alluvial along the coast. The alluvial region includes low swamp lands, coastal marshlands and beaches, and barrier islands that cover about 20,000 square miles (52,000 km2). This area lies principally along the Gulf of Mexico and the Mississippi River, which traverses the state from north to south for a distance of about 600 mi (970 km)) and empties into the Gulf of Mexico; ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Workers' Compensation Claims Manager jobs
$80,984 to $104,613

Workers' Compensation Claims Manager in Raleigh, NC
During the interview As Workers Compensation Claims Manager process employers will want to find out how you respond to supervision.
January 14, 2020
Workers' Compensation Claims Manager in Long Beach, CA
Where do you see your career in five years As Workers Compensation Claims Manager.
February 05, 2020
Workers' Compensation Claims Manager in Tuscaloosa, AL
Some of this is within the control of claims and defense counsel, and much isn't.
February 12, 2020