Manages the relationship between the HRBP and Location Managers/Third-Party Administrators (TPA) to provide WC oversight.
January 08, 2020
Develops metrics, provides technical expertise, enforces policies and provides problem resolution to reduce the number and cost of Occupational Injuries.
March 11, 2020
Provides specialty reimbursement solutions that identify and recover additional revenue for hospitals and health systems nationwide.
March 21, 2020
Completes all required administrative tasks including time reporting, closed cases, and other reports appropriate to performance of job duties.
April 15, 2020
Reports all new claims to TPA via Claim Intake platform, either entering the claims directly or working with in-house clinic to complete this task.
April 21, 2020
Demonstrates a thorough knowledge of workers compensation subrogation to include auto accident, product liability and other job related injury claims.
May 02, 2020
Create and send quarterly or semi-annual claim status reports per client profile.
May 03, 2020
Communicate with insurance carriers on all accounts for a claim status, follow-up on denials, incorrect payments, and past due accounts.
May 30, 2020
Participate in all file reviews to assess progress, make recommendations and ensure proper communication between policyholders and claims technical team.
June 28, 2020