What Does A Compensator Worker Do At UPMC
* Analyze, select and profitably price commercial risks that are low in hazard and complexity, and determine terms and conditions of coverage on new and renewal business.* Apply and conform to underwriting rules and guidelines, rating manuals, insurance laws/ regulations* Develop and maintain client relationships and coordinate team efforts.* Identify opportunities for organizational improvement and recommend solutions.* In conjunction with the Senior Underwriter, develop a consultative selling approach to generate new business consistent with underwriting strategy and in coordination with team members to include accurately assessing the needs of the broker and the client and formulating solutions that effectively address those needs
What Does A Compensator Worker Do At Advanced Personnel Resources
* Process requests from Attorneys and third party vendors Preparing all necessary billing information Print and scan medical records to be transmitted to attorneys and third party vendors Mail invoices to necessary parties.* Update system to ensure all medical records requests are properly tracked.* Ensure all payments are posted and logged.* Work as the backup for Accounts Receivable.* Maintain all confidentiality.* Knowledge of CPT and ICD9/10 codes Knowledge of insurance carriers Working knowledge of the liability process Minimum 2 years working with attorney's and processing requests Strong understanding of workers compensation in the medical office Experience pulling medical records and processing If you have the required skills and are interested in this opportunity please apply directly to this posting and call our office at 336.###.#### Associated topics: cdoc, chief, code, county, defender, disciplinary, secretary, secretary iii, trial
What Does A Compensator Worker Do At Alliance Healthcare Services
* Duties may include, but not limited to all or some of the following)* Maintain a thorough knowledge and understanding of medical case management practices and HIPPA guidelines in the health care industry.* Will be focused on cases that are 2 years old, and generally handling approximately 75 cases* Responsible for ensure appropriate medical services and continuity of care for injured workers.* Establish and maintain communications with attending physicians, claims adjusters, injured workers and employer.* Coordinate medical needs and schedule appointments for appropriate assessment and follow-up until maximum medical improvement (MMI) is achieved.* Update adjuster, client and injured worker in timely and professional manner.* Schedule and pre-certify all necessary medical appointments with providers and ancillary services.* Communicate work status with injured worker, employer and claims adjuster.* Transcribe, document and maintain employee medical history in the WC system using approved format.* Perform prospective, concurrent, and retrospective reviews for inpatient acute care, rehabilitation, referrals and select outpatient services.* Attend Team Meetings and Case Management meeting as scheduled.* Review requests for specialty services and direct IN Network when available (define service to be provided; research network providers; direct patients accordingly)* Communicate network negotiation/recruitment needs to Provider Services, Bill Processing and MCCI departments.* Attend Field Case Management visits when necessary* Monitor and track Disability Management and Plans on all cases.* Maintain and update Case Review diary/note on all cases.* Monitor Time Management when it applies to a client.* Responsibilities may vary dependent upon specific client requirements
What Does A Compensator Worker Do At Alphastaff
* Develops and maintains relationships with clients, internal departments and vendors.* Educates and trains as needed.* Underwrites prospects by examining documents such as applications, requests for proposals, loss information utilizing underwriting tools to determine degree of risk and possible market and ensures coverage is in place for all Worker s Compensation clients.* Makes recommendations for these risks and approves within authority level.* Works with sales to gather required information and provide quotes and indications as required.* Policy Administration such as processing certificates of insurance as needed.* Handle monopolistic state filings.* Ensures clients and reporting requirements are compliant within WC guidelines or statutes.* Completes carrier audits.* Works with Risk Control and Claims as needed regarding renewals and pre-underwriting surveys.* Ensures binding of risk and proper system administration into AlphaStaff s Client Relationship Management system and payroll system as required.* Assists the analytics team with audits as needed