Appeals officer vs workers' compensation hearings officer

Differences between appeals officer and workers' compensation hearings officer duties and responsibilities

Appeals officer example responsibilities.

• Process Medicare appealsutilize and interpret CPT and ICD-9 codesComputer skills
• Work as a sub-contractor to CMS.
• Resolve tax impasses through negotiation and mediation.
• Explain how LIS and Medicaid works with the insurance company.
• Evaluate the hazards of litigation to settle complex penalty assessment cases.
• Assist taxpayers and the government to resolve tax disputes and avoid litigation.
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Workers' compensation hearings officer example responsibilities.

• Manage litigation, pay timely compensation, file necessary state forms timely, negotiate appropriate settlements within company assign authority.
• Read & interpret various facility & physician reports such as AME, QME, IME, etc.
• Review members med/legal PQME and AME reports for applicable industrial evidence.
• Research applicable black letter laws and decisions, write briefs and appear before the WCAB.
• Appear and represent the carrier/insured at WCAB hearings, trials, mediations, arbitrations, and depositions.
• Coordinate and process all workers' compensation and disability benefits claims for large nursing home and rehabilitation center.
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