Job Information
Amergis Workers' Compensation Claims Examiner in Columbia, Maryland
Amergis, formerly known asMaxim Healthcare Staffing, has served our clients and communities by connectingpeople to the work that matters since 1988. We provide meaningful opportunitiesto our extensive network of healthcare and school-based professionals, ready towork in any hospital, government facility, or school. Through partnership andinnovation, Amergis creates unmatched staffing experiences to deliver the bestworkforce solutions.
The Claims Examiner of Workers’ Comp understands and participates in every aspect of the WC claim process. Working in a team approach, the Claims Examiner – WC will make decisions concerning reserve adjustments, develop a plan of action, and determine the appropriate settlement value. The Claims Examiner of Workers’ Comp also works with the In-take Coordinators, Claims Examiners, WC Manager and fellow Amergis co-workers at every level of the business.
Essential Duties and Responsibilities:
Manages and resolves workers compensation files
Participates in and leads conference calls with local offices, third-party administrators (TPAs), medical providers, attorneys, and other Amergis team members
Monitors TPA’s file resolution plans
Ensures legal deadlines are met
Represents Amergis in depositions, mediation, and conference calls regarding assigned claim files
Provides, reviews and comments on the financial aspects of assigned claims files
Educates branch offices about all aspects of Workers’ Compensation
Provides excellent customer service to injured employees
Prepares WC claim reports for review by department management team
Reviews, identifies and provides recommendations for maintaining control and/or reducing the claims experience (loss history) of the company
Assists Manager in achieving overall department goals
Performs other duties as assigned/necessary
Minimum Requirements:
College degree preferred; or equivalent work experience
Five to Seven years of Workers’ Compensation experience preferred
Some legal experience strongly preferred
Good organizational skills and attention to detail
Ability to work independently and cooperatively in a team environment
Ability to communicate effectively and provide excellent customer service with individuals at all levels of the organization
Computer proficiency, including Microsoft Office applications, required
Prior experience performing internet research
Ability to effectively elicit/provide information to and from appropriate individuals (including, but not limited to, supervisors, co-workers, clients) via strong communication skills; proficiency in the English language is required
Flexible work hours such that over time can be worked if needed
At Amergis Healthcare Staffing, wefirmly believe that our employees are the heartbeat of our organization and weare happy to offer the following benefits:
Medical/Prescription,Dental, Vision, Health Advocacy (company paid if enrolled Medical), HealthAdvocate Employee Assistance Program, Health Savings Account , 401(k), 401(k)Company Match, Profit Sharing, Short Term Disability, Long Term Disability,Primary Caregiver Leave, Parental Leave, Life and Basic Accidental Death andDismemberment Insurance, Voluntary Life and Accidental Death and DismembermentInsurance, Hospital Expense Protection Plan, Critical Illness Insurance,Accident Insurance, Dependent Care Flexible Spending Account, Home and AutoInsurance, Pet Insurance, MilkStork, Transportation Benefit, EducationalAssistance Program, College Partnership Program, Paid Time Off/Company Holidays
*Benefit eligibility is dependent onemployment status.
AmergisHealthcare Staffing is an equal opportunity/affirmative action employer. Allqualified applicants will receive consideration for employment without regardto sex, gender identity, sexual orientation, race, color, religion, nationalorigin, disability, protected Veteran status, age, or any other characteristicprotected by law.
This posting willremain active on job boards for 5 days from date of posting unless there is agood faith basis to extend the posting date.
Please note thatthis pay range represents a good faith estimate of the compensation that willbe offered for this position based on the circumstances. The actual pay offeredto a successful candidate will take into account a wide range of factors,including but not limited to location, experience, and other variable factors.
"Pursuant tothe San Francisco Fair Chance Initiative, Amergis will consider for employmentqualified applicants with arrest and conviction records"