(USA) Senior Director, Claims Management - Liability Major Case Unit
for Leave of Absence (LB), Specialty, and Workers' Compensation (WC) claims. Defines and implements best-in-class Standard...
for Leave of Absence (LB), Specialty, and Workers' Compensation (WC) claims. Defines and implements best-in-class Standard...
of the WCL, Board policies and procedures, and claims handling procedures for WC claims. Display a professional...
, Federal, and other regulations, (e.g., OSHA, WC, Dental Board, HIPAA, ADA, DOL, HR policies and practices) Qualifications...
for claims operations (intake, investigations, medical management, RTW, compliance). Translate complex WC/TPA policies...
/training in government payer rules and regulations. Requires some knowledge/training regarding TPLs, WC, and other payment...
), Specialty, and Workers' Compensation (WC) claims. Defines and implements best-in-class Standard Operating Procedures (SOPs...
information regarding second opinions and WC patients. Also includes sending WC fee agreements. Responds to all tasks in a timely...
manner Provides guidance on matters regarding OSHA, ANSI, WC, and any/all other regulatory agencies and oversees and manages...
the corrective actions Support Workers Compensation (WC) claims tracking, investigation, and management process Liaise... with WC Program Manager and benefits group on all aspects of injury management and rehabilitation Support compliance...
, WC, GL). Make recommendations on different loan scenarios should the company pursue capital expenditures. * Internal...