Workers' compensation claims adjuster vs insurance investigator

Differences between workers' compensation claims adjuster and insurance investigator duties and responsibilities

Workers' compensation claims adjuster example responsibilities.

• Manage OSHA logs and insure ongoing awareness for warehouse safety and risk management guidelines
• Manage litigation, pay timely compensation, file necessary state forms timely, negotiate appropriate settlements within company assign authority.
• Adjust complex workers' compensation claims, which include litigation management, vocational rehabilitation, medical management, and reserving practices.
• Coordinate all medical and vocational rehabilitation services.
• Coordinate all provide medical and vocational rehabilitation services to the catastrophically injure worker.
• Prepare claims for hearing process order DWC.
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Insurance investigator example responsibilities.

• Manage and dispose of claims in litigation by preparing and developing strategy with defense counsel and consensus relative to litigation handling.
• Research commercial coverage plans and government plans such as Medicare and Medicaid.
• Follow all HIPPA guidelines and procedures to protect patients and company interest.
• Analyze high risk transaction activity and provide final approval of investigative case analyses utilize for SAR preparation and filing.
• Prepare facility specific HIPAA authorizations for release of records.