Location: Evesham, NJ 08053
Duration: Contract to hire
PRIMARY PURPOSE:
To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
· Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.
· Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments.
· Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.
· Manages subrogation of claims and negotiates settlements.
· Communicates claim action with claimant and client.
· Ensures claim files are properly documented and claims coding is correct.
· May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.
· Maintains professional client relationships.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
· Performs other duties as assigned.
· Supports the organization's quality program(s).
· Travels as required.
Company DescriptionBC Forward began as an IT business solutions and staffing firm. Founded in 1998, BCforward has grown with our customers’ needs into a full-service personnel solutions organization. Headquartered in Indianapolis, Indiana, BCforward also operates numerous delivery centers across North America and India. We are currently the largest consulting firm and largest MBE certified firm in Indiana. Our uninterrupted growth has allowed BCforward to deliver uniquely configured IT staffing and project solutions for over years of catering to our customers’ specific needs. BCforward currently maintains a team of over 5000 global resources. With our additional brand, Stafforward, together we have the capabilities to deliver services for a variety of industries in both public and private sectors which allows us to address your most challenging needs.www.BCforward.com