Claims Examiner/Supervisor
Investigate new claims and determine validity and compensability. Manage indemnity and medical only claims. Determine authorization for medical procedures. Review and summarize medical records. Maintain correspondence with the employer for status updates throughout the claim. Read and evaluate state workers' compensation statutes to ensure the company complies with state and federal guidelines. Write and maintain quick-reference guides for each jurisdiction. Maintain correspondence with the injured worker through phone calls and letters, and ensure that they understand the course of action on their claim. Develop and maintain relationships with attorneys, vendors, and medical providers. Maintain caseload consisting of claims from MO, KS, OK, AR, NE, IN, MN, KY, and UT. Supervise employee caseloads.