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Claims Examiner II()
From:
Company: FirstComp (see all of this employer's jobs)
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Job Reference ID:
21581551
Category:
Insurance Biotech/Pharmaceutical
Duration:
Permanent Full-Time
City, ST:
Honolulu, Hawaii
Country:
United States |
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Description:
Company Overview:As one of America’s fastest-growing companies, FirstComp is creating fresh career paths for people with energy, passion and exceptional talent. A national leader in the workers’ compensation industry, FirstComp is becoming a career destination, with rewarding positions and ever-emerging opportunities to grow and advance. FirstComp flourishes through its “people-first” philosophy and has created an organic, dynamic culture where ideas flow freely and every team member collaborates to solve complex business challenges and reach new career heights. Position Overview: This position is a remote, home-based position. Responsible for ensuring the proper administration, handling and resolution of all assigned claims. Complete claim contacts and investigations. Handle full caseload of workers' compensation files including reserving, determine coverage and compensability, supervise legal defense and medical management, and bring claims to appropriate resolution. Communicate the appropriate claim information to the assistant for support activity. Field phone calls with highest-level customer service and best claim practices, attempt to handle all inquiries or action items on a claim in a timely manner. Close the claim with appropriate resolution (RTW, settlement, termination of benefits, court order, etc.). Position Requirements: Candidates must have knowledge of medical terminology, workers’ compensation laws, and benefits. Candidates must be licensed in Hawaii Associate’s degree or equivalent experience required. Computer literacy, with knowledge of Microsoft Office Suite. Pleasant and professional telephone skills. Ability to handle multiple and sometimes conflicting priorities, fast paced environment. Candidate must be self-motivated and require little supervision. Must be able to obtain licensure and certifications as necessary. High level of customer service Organizational skills and time management skills are a mu
Requirements:
Minimum Education:
Job Created:
Mon Nov 02 2009 10:31:33 AM
Last Modified: Mon Nov 02 2009 10:31:33 AM
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