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Key Risk is looking for a claims professional who enjoys analysis and management of workers compensation claims.
This role is located in Nashville, TN (remote), Atlanta/Alpharetta, GA (remote), Colombia, SC (remote), Charlotte, NC (remote), and Hight Point, NC (hybrid schedule). #LI-hyrbrid
Key Functions include but not limited to:
- Analyzes and processes workers’ compensation claims by investigating and gathering information to determine the exposure on the claim.
- Negotiate settlement of claims up to designated authority level and makes claims payments.
- Calculates and assigns timely an appropriate reserve to claims and continues to manage reserve adequacy throughout the life of the claim.
- Calculates and pays benefits due; approves all claim payments; and settles claims within designated authority level.
- Develops and manages claims though well-developed action plans; continues to work the action plan to bring the claim to an appropriate and timely resolution.
- Prepares necessary state filings within statutory limits.
- Actively 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.
- Frequently communicates with all appropriate parties involved with the claim.
- Maintains professional client relationships.
- Actively executes appropriate claims activities to ensure consistent delivery of quality claims services.
Key Risk is looking for a claims professional who enjoys analysis and management of workers compensation claims.
Position Located in either Glen Allen, VA (remote), Columbia, SC (remote), Charlotte, NC (remote) or Hight Point, NC (office).
Key Functions include but not limited to:
- Analyzes and processes workers’ compensation claims by investigating and gathering information to determine the exposure on the claim.
- Negotiate settlement of claims up to designated authority level and makes claims payments.
- Calculates and assigns timely an appropriate reserve to claims and continues to manage reserve adequacy throughout the life of the claim.
- Calculates and pays benefits due; approves all claim payments; and settles claims within designated authority level.
- Develops and manages claims though well-developed action plans; continues to work the action plan to bring the claim to an appropriate and timely resolution.
- Prepares necessary state filings within statutory limits.
- Actively 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.
- Frequently communicates with all appropriate parties involved with the claim.
- Maintains professional client relationships.
- Actively executes appropriate claims activities to ensure consistent delivery of quality claims services.