Claims Specialist

• Process low-level workers compensation claims to determine compensability and benefits due
• Ensure ongoing adjudication of claims according to company standards and industry best practices
• Monitor reserve accuracy and file required documentation with state agencies
• Develop and coordinate claims action plans through resolution and return-to-work efforts
• Approve claim payments and administer action plans according to claim or client contracts
• Identify subrogation claims and negotiate settlements
• Communicate claim actions with claimants and clients
• Ensure claim files are properly documented and claims coding is correct
• Process low-level lifetime medical and/or defined-period medical claims when applicable
• Complete state and physician filings and make decisions on treatments recommended by utilization review
• Maintain professional client relationships

Claims Specialist jobs in Alaska

Claims Examiner – Workers Compensation