Workers' Compensation Claims Manager jobs in New Hampshire

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 Claim Adjuster - Hybrid or Remote
  • CCMSI
  • Manchester, NH OTHER
  • Overview

    At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding and recognizing individual and team efforts. Certified as a Great Place To Work, our employee satisfaction and retention ranks in the 95th percentile.    

     

    Reasons you should consider a career with CCMSI:

      • Culture: Our Core Values are embedded into our culture of how we treat our employees as a valued partner-with integrity, passion and enthusiasm.
      • Career development: CCMSI offers robust internships and internal training programs for advancement within our organization.
      • Benefits: Not only do our benefits include 4 weeks paid time off in your first year, plus 10 paid holidays, but they also include Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401K, and ESOP.
      • Work Environment: We believe in providing an environment where employees enjoy coming to work every day, are provided the resources needed to perform their job and claims staff are assigned manageable caseloads.

     

    The Workers' Compensation Claim Consultant is responsible for the investigation and adjustment of assigned claims.  This position may be used as an advanced training position for consideration of promotion to a more senior level claim position.  Accountable for the quality of claim services as perceived by CCMSI clients and within our corporate claim standards.

    Responsibilities

    • Investigate, evaluate and adjust claims in accordance with established claim handling standards and laws.
    • Establish reserves and/or provide reserve recommendations within established reserve authority levels.
    • Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated claims. Negotiate any disputed bills or invoices for resolution.
    • Authorize and make payments of claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority.
    • Negotiate settlements in accordance within Corporate Claim Standards, client specific handling instructions and state laws, when appropriate.
    • Assist in the selection, referral and supervision of designated claim files sent to outside vendors. (i.e. legal, surveillance, case management, etc.)
    • Assess and monitor subrogation claims for resolution.
    • Review and maintain personal diary on claim system.
    • Client satisfaction.
    • Prepare reports detailing claim status, payments and reserves, as requested.
    • Compute disability rates in accordance with state laws.
    • Effective and timely coordination of communication with clients, claimants and appropriate parties throughout the claim adjustment process.
    • Prepare newsletter articles, as requested.
    • Provide notices of qualifying claims to excess/reinsurance carriers.
    • Handle more complex and involved claims than lower level claim positions with minimum supervision.
    • Conduct claim reviews and/or training sessions for designated clients, as requested.
    • Attend and participate at hearings, mediations, and informal legal conferences, as appropriate.
    • Compliance with Corporate Claim Handling Standards and special client handling instructions as established.
    • Performs other duties as assigned.

    Qualifications

    Education and/or Experience

    Three or more years experience with adjusting Maine Workers' Compensation Claims is required.

     

     

    Computer Skills

    Proficient using MicroSoft Office products such as Word, Excel, Outlook, etc.

     

    Certificates, Licenses, Registrations

    ME Adjusters license is required 

     

     

    CORE VALUES & PRINCIPLES

    Responsible for upholding the CCMSI Core Values & Principles which include: performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example.

     

    CCMSI is an Affirmative Action/Equal Employment Opportunity employer offering an excellent benefit package included Medical, Dental, Vision, Prescription Drug, Flexible Spending, Life, ESOP and 401K.

     

    #CCMSI #GreatPlaceToWorkCertified #EmployeeOwned #WorkersCompensation #AdusterJobs #HiringNow #InsuranceCareers 

     

  • 21 Days Ago

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Workers' Compensation Claim Consultant, Senior (NH & VT)
  • CCMSI
  • Manchester, NH OTHER
  • Overview At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of ...
  • 2 Months Ago

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Field Technician
  • Hancock Claims Consultants
  • Dover, NH CONTRACTOR
  • CLIMB to New Heights… And live the_ American Dream. _Become part of something bigger by contracting with the nation’s top provider of roof and property inspection services working with insurance carri...
  • 23 Days Ago

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Administrative Assistant
  • National Association of Social Workers
  • Concord, NH FULL_TIME
  • To be considered for this position, please upload your resume and cover letter at the link provided.Founded in 1955, the National Association of Social Workers (NASW) is the largest membership organiz...
  • 1 Month Ago

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Administrative Assistant - New Hampshire
  • National Association of Social Workers
  • Concord, NH FULL_TIME
  • Major FunctionsActs as manager of day-to-day operations of the Chapter office under the supervision of the Executive Director. Responsible for administrative, financial, and communications management,...
  • 1 Month Ago

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Store Manager
  • Garage clothing-Store manager-Mall of Rockingham,...
  • Salem, NH FULL_TIME
  • Seize the opportunity to join a global fashion retailer with two brands at the heart of its success, Garage and Dynamite, selected as one of Montreal's Top Employers 2020 and as one of Canada’s Top em...
  • 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

New Hampshire is part of the six-state New England region. It is bounded by Quebec, Canada, to the north and northwest; Maine and the Atlantic Ocean to the east; Massachusetts to the south; and Vermont to the west. New Hampshire's major regions are the Great North Woods, the White Mountains, the Lakes Region, the Seacoast, the Merrimack Valley, the Monadnock Region, and the Dartmouth-Lake Sunapee area. New Hampshire has the shortest ocean coastline of any U.S. coastal state, with a length of 18 miles (29 km), sometimes measured as only 13 miles (21 km). New Hampshire was home to the rock forma...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Workers' Compensation Claims Manager jobs
$86,299 to $111,478

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