ESSENTIAL FUNCTIONS and RESPONSIBILITIES
- Reviews workers compensation claims to determine if potential for Second Injury Fund recoveries exist.
- Pursues medical information necessary to qualify claim for acceptance by the Second Injury Fund.
- Pursues information necessary to satisfy the Second Injury Fund's knowledge requirement.
- Determines from knowledge and medical information secured whether to submit claim warrants to Second Injury Fund for acceptance.
- Approves and/or pays bills as appropriate.
- Reviews workers' claims and conducts investigations to determine if potential for subrogation exists.
- Gathers information necessary to support viable subrogation claim.
- Notifies appropriate parties of subrogation lien.
- Secures recovery from responsible parties.
- Prepares various type status reports for clients.
- Enters recoveries into the claims management system.
- Obtains settlement authority from state funds and negotiates compromise settlements with state funds.
- Maintains a quality assurance program to support the total performance management initiative and the delivery of quality claims service consistently.
- Travels as required.
QUALIFICATIONS
Education & Licensing
Baccalaureate degree from an accredited college or university preferred.
Experience
Three (3) years of claims experience required.
Skills & Knowledge
- Thorough knowledge of claims management processes and procedures
- Excellent oral and written communication
- PC literate, including Microsoft Office products
- Strong organizational skills
- Excellent interpersonal skills
- Ability to work in a team environment
- Ability to meet or exceed Performance Competencies
WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental:� Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
Physical:� Computer keyboarding
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.
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