Workers' Compensation Manager is responsible for developing, maintaining, and managing a company's workers' compensation program. Implements all matters of the program, including claim investigations, settlements, and litigation. Being a Workers' Compensation Manager establishes standards and procedures for all matters relating to workers' compensation. Responsible for finding an insurance provider that meets organizational goals of employee coverage and cost effectiveness. Additionally, Workers' Compensation Manager requires a bachelor's degree. Typically reports to a head of unit/department. The Workers' Compensation 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 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)
Workers’ Compensation Claims Representative - This position will assist healthcare providers in identification, verification, billing and follow-up on workers’ compensation claims. The claims representative will help identify the appropriate workers’ compensation carrier and provide the documentation necessary for payment. The claims representative will work directly with adjusters to obtain claim updates and resolve outstanding claims. Representatives will need excellent communication and organizational skills to gather information and achieve resolution on assigned claims. Prior medical billing experience is preferred.
Essential Duties
Answering inbound calls and making outbound calls, while demonstrating proper phone etiquette and HIPAA compliance
Identification and verification of workers’ compensation insurance
Properly noting the account and setting appropriate follow-up
Proficient communication related to standard billing forms (UB04 and 1500)
High School Diploma and GED
Strong Knowledge of computer skills and typing
Intermediate knowledge of Outlook, Excel
Dependable and Detailed individuals with organizational skills
Great Communication skills
Recommended- 1- or 2-years' medical billing experience