Workers' Compensation Claims Manager jobs in Louisiana

Workers' Compensation Claims Manager manages accountabilities in the administration of first and third party worker's compensation claims. Manages domestic and/or international claim management strategies critical to the organization's success. Being a Workers' Compensation Claims Manager is responsible for reporting, investigation, and analysis; litigation management; resolution/outcome management; and the delivery of claim information. Manages litigated and moderately complex claims and is entrusted with significant settlement authority. Additionally, Workers' Compensation Claims Manager creates and develops relationships with claims adjusters, insurers, outside legal counsel, and other claims related parties. Directs workers' compensation claims policies and procedures within the claim information analysis. Requires a bachelor's degree. Typically reports to a head of a unit/department. The Workers' Compensation Claims Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Workers' Compensation Claims Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

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Workers' Compensation Claims Adjuster
  • Heartland Security Insurance Group
  • Remote, LA FULL_TIME
  • About Us
    At Heartland, we are focused on results, not corporate politics. We foster a harmonious work environment where associates feel like family. We strive to be the employer of choice, and believe all of our associates should have fun at work! We are hardworking – but not at the expense of our families. At Heartland, you will find an entrepreneurial environment where we take the time to educate, coach and lead employees into further opportunities within our company. We want all of our associates to enjoy a good work-life balance and are welcomed in our environment. We strive to show our employees that they are more than just a number and viewed as an integral part of our organization.
     
    Heartland recognizes the importance of a quality benefits package, not only to our associates, but to their families. That’s the Heartland way.  Our generous benefit package includes (but is not limited to) Paid Time Off, Health Insurance, Life Insurance, Long Term Disability, Employee Assistance Program, and two retirement plans.
     
    At Heartland, we go out of our way to make our associates feel at home and celebrate their achievements and contributions to the company. Our environment consists of several appreciation events throughout the year and we encourage every employee, near & far, to join us with their families to enjoy good food, fun and comradery. Our benefits package, appreciation events, and fun work environment go above industry standard. We want our employees to feel like family – so we treat them like family.
     
    **Candidates must be located in Louisiana**

    Workers' Compensation Claims Adjuster

    Primary Responsibility
    The Claims Adjuster will manage an assigned caseload of medical only and lost time Workers’ Compensation claims from the first report of injury to resolution according to the applicable law. This includes making decisions about liability/compensability, evaluating losses, and negotiating settlements. The role interacts with claimants, policyholders, appraisers, attorneys, and other third parties throughout the claims management process. The position offers training developed with an emphasis on enhancing skills needed to help provide exceptional service to our customers. The Claims Representative will adjudicate medical only and lost time Workers' Compensation files according to applicable law.
     
    Essential Functions & Responsibilities
    • Manage assigned caseload of workers’ compensation claims.
    • Make decisions about compensability, set reserves and negotiate settlements.
    • Interact with claimants, clients, medical providers and other third party representatives throughout the claims process.
    • Timely initial contacts and investigation of new claims.
    • Verify coverage.
    • Take recorded statements as needed.
    • Document files daily on every conversation and action taken.
    • Identify and address subrogation issues.
    • Start and stop indemnity benefits timely and accurately.
    • Complete jurisdictional forms timely and accurately.
    • Monitor ongoing medical treatment.
    • Request second medical opinions as needed.
    • Request surveillance appropriately.
    • Work mail and diary on a daily basis.
    • Client visits as required.
    • Preparation and handling of hearings
     
    Additional Functions & Responsibilities
    • Communicates directly with client.
    • Prepares reports and other analytical data as requested by the management team.
     
    Required Qualifications
    • Must hold a valid Workers’ Compensation Adjuster license.
    • Must have at least 2-3 years of experience handling indemnity workers’ compensation claims.
    • High school diploma.
    • Ability to follow instructions, procedures and rules.
    • Must have strong attention to detail.
    • Must have good written and oral communication skills.
    • Must be well organized and the ability to multi-task.
    • Basic computer skills in MS Word, Excel and Outlook.
    • Fast, accurate data entry
     
    Preferred Qualifications
    • College degree in business or other related discipline.

  • 20 Days Ago

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Senior Claims Examiner - Workers Compensation
  • Crawford & Company
  • Orleans, LA OTHER
  • Excellence In Everything We Touch Position Summary Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. Works within established authority on m...
  • 1 Month Ago

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Workers Compensation Coordinator
  • Jefferson Ambulatory Surgery Center
  • Metairie, LA FULL_TIME
  • Position Summary: The Workers Comp / Insurance Verification and Precertification Specialist is responsible for the verification of all patients benefits and authorizations prior to Surgery. MUST HAVE ...
  • 18 Days Ago

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WORKERS' COMPENSATION ANALYST 1/2
  • State of Louisiana
  • Baton Rouge, LA OTHER
  • Workers' Compensation Analyst 1/2 Office of Workers’ Compensation Division: Records Management Location: Baton Rouge, La Position #: 50472652 Announcement #: LWC193600-4-17-24KK Position Information T...
  • 6 Days Ago

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Workers Compensation Coordinator
  • Acadian Ambulance
  • Lafayette, LA FULL_TIME
  • Risk Management, a department of Acadian Companies, has an immediate opening for a new full-time Workers Compensation Coordinator in Lafayette, LA. This position will coordinate all aspects of workers...
  • 24 Days Ago

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Workers Compensation Billing/Collections Specialist
  • TOP Healthcare Company
  • Lafayette, LA FULL_TIME
  • Familiar with Workers Compensation Review and work denials daily Prepare appeals as needed Prepare files that require arbitration and submit to attorneys Maintain confidentiality and adhere to HIPAA a...
  • 1 Month Ago

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Workers' Compensation Claim Manager (In Office) - New England Claims
  • CCMSI
  • Reading, MA
  • Overview: At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Part...
  • 4/26/2024 12:00:00 AM

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Claims Review Specialist - Workers Compensation
  • Aerotek
  • Tempe, AZ
  • Aerotek has an immediate opening for a Claims Review Specialist - Workers Compensation at the corporate office in Tempe,...
  • 4/25/2024 12:00:00 AM

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Workers Compensation Claims Manager
  • Intercare Holdings Insurance Services
  • Rocklin, CA
  • Worker Compensation Claims ManagerJob Details Job Type Full-time Rocklin, CADescription Summary: Reports directly to the...
  • 4/24/2024 12:00:00 AM

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Workers Compensation Manager
  • Muslusky Law
  • Las Vegas, NV
  • Job Description Job Description The ideal candidate should have A minimum of 2 years of experience handling claims in a ...
  • 4/23/2024 12:00:00 AM

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Workers Compensation Claims Manager
  • Intercare Holdings Insurance Services
  • Rocklin, CA
  • Worker Compensation Claims ManagerJob Details Job Type Full-time Rocklin, CADescription Summary: Reports directly to the...
  • 4/22/2024 12:00:00 AM

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Workers Compensation Claims Manager
  • Intercare Insurance
  • Rocklin, CA
  • Worker Compensation Claims Manager Job Details Job Type Full-time Rocklin, CADescription Summary: Reports directly to th...
  • 4/22/2024 12:00:00 AM

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Workers' Compensation Manager
  • Bolthouse Farms
  • Bakersfield, CA
  • THE ROLE: This position will report to the: Director Health & Safety Location Bakersfield, CA FLSA Status: Exempt Employ...
  • 4/22/2024 12:00:00 AM

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Workers' Compensation Manager
  • Bolthouse Farms
  • Bakersfield, CA
  • THE ROLE: This position will report to the: Director Health & Safety Location: Bakersfield, CA FLSA Status: Exempt Emplo...
  • 4/22/2024 12:00:00 AM

Louisiana is bordered to the west by Texas; to the north by Arkansas; to the east by Mississippi; and to the south by the Gulf of Mexico. The state may properly be divided into two parts, the uplands of the north, and the alluvial along the coast. The alluvial region includes low swamp lands, coastal marshlands and beaches, and barrier islands that cover about 20,000 square miles (52,000 km2). This area lies principally along the Gulf of Mexico and the Mississippi River, which traverses the state from north to south for a distance of about 600 mi (970 km)) and empties into the Gulf of Mexico; ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Workers' Compensation Claims Manager jobs
$81,170 to $104,858

Workers' Compensation Claims Manager in Raleigh, NC
During the interview As Workers Compensation Claims Manager process employers will want to find out how you respond to supervision.
January 14, 2020
Workers' Compensation Claims Manager in Long Beach, CA
Where do you see your career in five years As Workers Compensation Claims Manager.
February 05, 2020
Workers' Compensation Claims Manager in Tuscaloosa, AL
Some of this is within the control of claims and defense counsel, and much isn't.
February 12, 2020