Workers' Compensation Claims Manager jobs in Tennessee

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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100% REMOTE Workers Compensation Claims Examiner (ND2023)
  • Techlink Systems
  • Memphis, TN OTHER
  • Job Title: Claims Examiner - Workers Compensation
    Location: Memphis, TN (REMOTE)
    Work Hours: TBA
    Benefits: Medical Insurance, Dental Insurance, Vision Insurance, 401K

    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 the line of business preferred.

    Experience

    • Five (5) years of claims management experience or equivalent combination of education and experience required.
    • Having experience in KS, MO or MI WC claims

    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

     

  • 3 Days Ago

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Director of Workers Compensation
  • Tennessee Orthopaedic Alliance
  • Nashville, TN FULL_TIME
  • Description ABOUT TOATennessee Orthopaedic Alliance is the largest orthopaedic surgery group in Nashville and Middle Tennessee. TOA concentrates on the diagnosis and treatment of disorders and injurie...
  • 23 Days Ago

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Workers Compensation Analyst
  • Bridgestone Americas
  • Nashville, TN FULL_TIME
  • Company OverviewWherever you work and whatever role you fill, when you represent the Bridgestone name you know that you are a valued teammate who is part of our larger mission to “Serve Society with S...
  • 1 Day Ago

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Workers Compensation Coordinator/RN
  • Business Health Solutions Professional Corporation
  • Collierville, TN FULL_TIME
  • Workers' Compensation Coordinator (Registered Nurse) Company Overview: At Business Health Solutions, PC, we believe in a workplace culture built on service, excellence, humility, and integrity. As a l...
  • 4 Days Ago

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Examiner, Workers Compensation
  • U.S. Xpress Enterprises, Inc.
  • Chattanooga, TN FULL_TIME
  • Examiner, Workers Compensation CHATTANOOGA, TN 8am - 5pm Position open to remote: Limited Who We Are: Relentlessly Delivering Big Ideas. U.S. Xpress is one of the nation’s largest asset-based trucking...
  • 10 Days Ago

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Associate Attorney - Workers' Compensation
  • Greenfield Staffing Solutions
  • Nashville, TN FULL_TIME
  • Our client s looking for an experienced self-starting Associate for our Workers' Compensation practice groups. Successful applicants will have exceptional writing, research, and litigation skills. Pri...
  • 1 Month 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

Tennessee borders eight other states: Kentucky and Virginia to the north; North Carolina to the east; Georgia, Alabama, and Mississippi on the south; Arkansas and Missouri on the Mississippi River to the west. Tennessee is tied with Missouri as the state bordering the most other states. The state is trisected by the Tennessee River. The highest point in the state is Clingmans Dome at 6,643 feet (2,025 m). Clingmans Dome, which lies on Tennessee's eastern border, is the highest point on the Appalachian Trail, and is the third highest peak in the United States east of the Mississippi River. The ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Workers' Compensation Claims Manager jobs
$78,301 to $101,147

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