Workers' Compensation Claims Manager jobs in Maryland

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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Claims Examiner - Workers Compensation
  • Sedgwick Claims Management Services Inc.
  • Hunt Valley, MD FULL_TIME
  • The 'Apply with SEEK' option will be utilized for International applicants, mainly Australia. If this does not apply to you please use the 'Apply' option. Claims Examiner - Workers Compensation IF YOU CARE, THERE’S A PLACE FOR YOU HERE For a career path that is both challenging and rewarding, join Sedgwick’s talented team of 27,000 colleagues around the globe. Sedgwick is a leading provider of technology-enabled risk, benefits and integrated business solutions. Taking care of people is at the heart of everything we do. Millions of people and organizations count on Sedgwick each year to take care of their needs when they face a major life event or something unexpected happens. Whether they have a workplace injury, suffer property or financial loss or damage from a natural or manmade disaster, are involved in an auto or other type of accident, or need time away from work for the birth of a child or another medical situation, we are here to provide compassionate care and expert guidance. Our clients depend on our talented colleagues to take care of their most valuable assets—their employees, their customers and their property. At Sedgwick, caring counts®. Join our team of creative and caring people of all backgrounds, and help us make a difference in the lives of others. For more than 50 years, Sedgwick has been helping employers answer virtually every question there is about workers’ compensation. We have experience in nearly every type of industry and region and provide the industry’s broadest range of programs and services. PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution. Negotiates settlement of claims within designated authority. Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim. Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level. Prepares necessary state fillings within statutory limits. Manages the litigation process; ensures timely and cost effective claims resolution. Coordinates vendor referrals for additional investigation and/or litigation management. Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner. Communicates claim activity and processing with the claimant and the client; maintains professional client relationships. Ensures claim files are properly documented and claims coding is correct. Refers cases as appropriate to supervisor and management. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). Travels as required. QUALIFICATION Education & Licensing Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Experience Five (5) years of claims management experience or equivalent combination of education and experience required. Skills & Knowledge Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business. Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Good interpersonal skills Excellent negotiation skills Ability to work in a team environment Ability to meet or exceed Service Expectations WORK ENVIRONMENT When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical: Computer keyboarding, travel as required Auditory/Visual: Hearing, vision and talking NOTE: Credit security clearance, confirmed via a background credit check, is required for this position. The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. #LI-MG1 Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. Taking care of people is at the heart of everything we do. Caring counts Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing – one where caring counts. Watch this video to learn more about us.
  • 5 Days Ago

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Workers Compensation Adjuster
  • TheBest Claims Solutions
  • Baltimore, MD FULL_TIME
  • Workers Compensation Adjuster BALTIMORE, MD 21030 | TEMPORARY $35.00 TO $40.00 AN HOUR, DEPENDING ON EXPERIENCE Job Description Our client is looking to add a new temporary remote Workers Compensation...
  • Just Posted

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Workers' Compensation Claims Examiner I
  • Maxim Healthcare Services
  • Columbia, MD FULL_TIME
  • The Workers’ Compensation (WC) Claims Examiner I participates in every aspect of the WC claim process. Working independently and in coordination with other WC team members, the WC Examiner I will cons...
  • 1 Month Ago

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ASSISTANT TO THE COMMISSIONER I WORKERS' COMPENSATION COMMISSION
  • State of Maryland - Worker's Compensation Commission
  • Baltimore, MD FULL_TIME
  • Introduction OUR MISSION The Maryland Workers' Compensation Commission seeks to secure the equitable and timely administration of the provisions of the Maryland Workers' Compensation law on behalf of ...
  • Just Posted

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Workers Compensation Lost Time Claims Adjuster
  • Builders Mutual
  • Remote, MD FULL_TIME
  • At Builders Mutual, we believe in the power of a team to get the job done right. Our team does their best work each day, creating a one-stop resource for all commercial insurance solutions and constru...
  • 9 Days Ago

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Workers Compensation - Auto Case Manager
  • WGK Personal Injury Lawyers
  • Baltimore, MD FULL_TIME
  • Our busy law office is growing, and we need an in-person Workers' Compensation - Auto case manager to work alongside attorneys and achieve our client’s goals. Our ideal candidate will have experience ...
  • 22 Days Ago

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Human Resources Workers Compensation Manager
  • CCS Facility Services
  • Costa Mesa, CA
  • Job Description Job Description About CCS: CCS Facility Services is one of the largest building service contractors in t...
  • 3/28/2024 12:00:00 AM

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Human Resources Specialist, Payroll, Compensation and Benefits
  • Andrews & Cole, LLC
  • Redondo Beach, CA
  • Andrews & Cole is currently partnering with a fast-growing real estate client in Redondo Beach who is looking for a Payr...
  • 3/28/2024 12:00:00 AM

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WORKERS COMPENSATION MANAGER
  • The Judge Group
  • Beardstown, IL
  • WORKERS COMPENSATION MANAGERHOURS:Day Shift. Flexible as neededPOSITION DESCRIPTION:Provide information and act as the C...
  • 3/28/2024 12:00:00 AM

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WORKERS COMPENSATION MANAGER
  • The Judge Group
  • Green Bay, WI
  • About Us:JBS USA is a leading global provider of diversified, high-quality food products, including a portfolio of well-...
  • 3/28/2024 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 ...
  • 3/28/2024 12:00:00 AM

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W/C Insurance Specialist
  • SA Technologies, Inc.
  • Phoenix, AZ
  • Job Description Title: W/C Insurance Specialist Location: Phoenix, AZ, 85007 Duration: 12 months Client: State of Arizon...
  • 3/28/2024 12:00:00 AM

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Human Resources, Workers Comp
  • Community Memorial Healthcare
  • Ventura, CA
  • Compensation: Salary Range: $31.54 - $47.53 / hour The pay range above represents the lowest possible rate for the posit...
  • 3/27/2024 12:00:00 AM

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Senior Benefits Specialist
  • PharmaCann Inc
  • Chicago, IL
  • PharmaCann, Inc. owns and operates best-in-class production facilities and retail dispensaries for cannabis-based produc...
  • 3/25/2024 12:00:00 AM

Maryland (US: /ˈmɛrələnd/ (listen) MERR-əl-ənd) is a state in the Mid-Atlantic region of the United States, bordering Virginia, West Virginia, and the District of Columbia to its south and west; Pennsylvania to its north; and Delaware to its east. The state's largest city is Baltimore, and its capital is Annapolis. Among its occasional nicknames are Old Line State, the Free State, and the Chesapeake Bay State. It is named after the English queen Henrietta Maria, known in England as Queen Mary. Sixteen of Maryland's twenty-three counties border the tidal waters of the Chesapeake Bay estuary and...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Workers' Compensation Claims Manager jobs
$87,820 to $113,443

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