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TPA SPECIALIST/WORKERS COMPENSATION INSURANCE SPECIALIST
| Details |
Country: USA
Location: PA Berkshire Heights
Total applied: 9
Relevant Work Experience: 2+ to 5 Years
Career Level: Manager (Manager/Supervisor of Staff)
Education Level: Associate Degree
Job Type: Employee
Job Status: Full Time
Job Shift: First Shift (Day)
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TPA SPECIALIST/WORKERS COMPENSATION INSURANCE SPECIALIST
TPA SPECIALIST/WORKERS COMPENSATION
Job Purpose:
Controls workers' compensation costs by managing medical cases.
Duties:
* Investigates accidents by interviewing victim and witnesses; evaluating incident and medical reports.
* Prevents and reduces accidents by studying accident reports; establishing causes of accidents; recognizing trends in types of accidents; coaching supervisors and employees; publishing accident-prevention information.
* Pays medical bills by verifying required documents.
* Pays employees by verifying and processing claims and benefits.
* Secures reimbursement by submitting subrogation claims and criminal cases.
* Maintains records by updating records management system.
* Prepares reports by collecting, analyzing, and summarizing information.
* Maintains technical knowledge by attending educational workshops and conventions; benchmarking state-of-the-art practices; reviewing publications.
* Contributes to team effort by accomplishing related results as needed.
Skills/Qualifications:
Worker Compensation, Reporting Skills, Analyzing Information, Benefits Administration, Resolving Conflict, Employment Law, Objectivity, Confidentiality, Creating a Safe, Effective Environment, People Skills, Listening
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