NC Workers' Compensation Claims Examiner | Remote

Jonus Group Remote
workers compensation remote workers compensation medical injured moderate providers treatment insurance remote supervision manager contacting
November 19, 2022
Jonus Group
Charlotte, NC
FULL_TIME
Our client, a leading Insurance Carrier, is continuing to grow and seeking to add a Remote Workers Compensation Claims Examiner. This role will consist of handling moderate to complex North Carolina and South Carolina Workers Compensation claims from inception to close. Qualified candidates must be well-versed in North Carolina and South Carolina Workers Compensation Law and have the ability to work remotely

Handle moderate to complex workers compensation claims with minimal supervision and guidance from the manager.
Investigate lost time claims by contacting injured workers, medical providers, and employer representatives; determine compensability under applicable state statutes.
Communicate with medical providers to develop and authorize appropriate treatment plans.
Review and analyze medical bills to confirm charges and treatments are injury-related and in accordance with the treatment plan.
Actively coordinate transitional return to work for injured employees of assigned accounts.
Negotiate settlements with injured workers and attorneys.

Requirements:

2 - 6+ years of Workers Compensation Lost Time claims handling experience
Must be well-versed in North Carolina and South Carolina Workers Compensation Law
Must have experience handling litigated files.
Excellent Customer Service and Organizational skills.
High School Diploma; Bachelor's Degree preferred but not required.

Salary/Benefits:

$70,000 to $85,000 annual base salary plus bonus
Competitive Medical, Dental, Vision and Life plans
Extremely lucrative PTO Plan
Employer matching 401(k) plan
Profit Sharing up to 5% Employer contribution

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