About this role
Role Overview
- Ensures adherence to client service instructions.
- Monitors client reserves for accurate reflection of client's book of claims; ensures reserves are within an appropriate range.
- Tracks and trends performance guarantee and gain share agreements at the client level.
- Ensures client's claims reports are properly and timely prepared and distributed.
- Monitors client's average cost of claims; identifies trends and excessive cost factors.
- Conducts client specific operational audits; monitors client audit compliance.
- Works with company Quality and Operations staff to resolve client issues including results of client Compass audits.
- Manages client specific internal control report issues.
- Ensures timely payment of TTD, medical and vendor bills; ensures appropriate vendor utilization.
- Reviews aging claims for file closure ensuring claims do not age beyond appropriate time frames.
Requirements
- Eight (8) years of related experience or equivalent combination of education and experience required to include five (5) years of Workers Compensation claims management and two (2) years of auditing experience.
- One (1) year of continuous service with the company is preferred.
Benefits
- Flexible work schedule.
- Referral incentive program.
- Career development and promotional growth opportunities.
- A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.