The Workers' Comp Claim Resolution Manager manages domestic and/or international claim management strategies critical to the organization's success. Manages accountabilities in the administration of first and third party worker's compensation claims. Being a Workers' Comp Claim Resolution Manager manages litigated and moderately complex claims and is entrusted with significant settlement authority. Responsible for reporting, investigation, and analysis; litigation management; resolution/outcome management; and the delivery of claim information. In addition, Workers' Comp Claim Resolution 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' Comp Claim Resolution 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. Working as a Workers' Comp Claim Resolution Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required.
The Workers' Comp Claim Oversight Manager manages domestic and/or international claim management strategies critical to the organization's success. Manages accountabilities in the administration of first and third party worker's compensation claims. Being a Workers' Comp Claim Oversight Manager manages litigated and moderately complex claims and is entrusted with significant settlement authority. Responsible for reporting, investigation, and analysis; litigation management; resolution/outcome management; and the delivery of claim information. In addition, Workers' Comp Claim Oversight 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' Comp Claim Oversight 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. Working as a Workers' Comp Claim Oversight Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required.
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A Workers Comp Adjuster is responsible for investigating and evaluating workers' compensation claims to determine the extent of liability and the appropriate compensation for injured workers. They review medical records, interview claimants and witnesses, and gather evidence to make informed decisions about the validity of claims. They also work with medical professionals, legal counsel, and other stakeholders to ensure that claims are processed accurately and efficiently. Additionally, Workers Comp Adjusters may negotiate settlements, attend hearings, and provide support to injured workers throughout the claims process. Strong communication, analytical, and problem-solving skills are essential for this role, as well as a thorough understanding of workers' compensation laws and regulations.