3 avp claims support jobs found in Springfield, IL

Job Description The Claims Analyst, Senior Claims Analyst independently adjudicates multi-state workers’ compensation indemnity, EL and subrogation claim files that are generally non-catastrophic in nature.   ESSENTIAL FUNCTIONS 1. Receives lost time assignments. Verifies and determines applicability of coverage. Completes 24  hour contact with employer, employee and attending physician inclusive of telephonic contact,  recorded statements and/or in person interviews with insured, employee, physician, and witnesses. 2. Reviews all coverage issues and determines compensability within Midwest standards.  3. Aggressively manages all aspects of the workers’ compensation claims management process inclusive  of litigation, and providing direction to defense counsel. 4. Responsible for customer relations management, consistently establishing and maintaining high levels of trust and confidence with clients, through constant contacts, prompt response and resolving client’s...

Job Description ESSENTIAL FUNCTIONS Answer incoming calls and document claim file activities for multi-state workers’ compensation claims. Set up new losses and document claims file activities upon loss intake. Support team by answering telephones, completing telephone surveys, updating the call log, producing claim kits, and facilitating special handling requests. Assist clients with MPN/HCN/MCO network provider lookups. Update the customer notes for accounts with special handling. Handle unidentified mail. Review and sort outgoing indemnity and medical checks. 8. Other duties and projects as assigned. COMPETENCIES/QUALIFICATIONS Professional telephone demeanor, good verbal and written communication skills, good listening skills, along with strong organizational skills. Thorough knowledge of workers’ compensation claims procedures and policies Possess a strong understanding of human nature and motivation principles. Readily...

Job Description The Claims Analyst, Senior Claims Analyst independently adjudicates multi-state workers’ compensation indemnity, EL and subrogation claim files that are generally non-catastrophic in nature. ESSENTIAL FUNCTIONS Receives lost time assignments. Verifies and determines applicability of coverage.  Completes 24 hour contact with employer, employee and attending physician inclusive of telephonic contact, recorded statements and/or in person interviews with insured, employee, physician, and witnesses. Reviews all coverage issues and determines compensability within Midwest standards.   Aggressively manages all aspects of the workers’ compensation claims management process inclusive of litigation, and providing direction to defense counsel. Responsible for customer relations management, consistently establishing and maintaining high levels of trust and confidence with clients, through constant contacts, prompt response and resolving client’s questions...