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Worker Compensation Claims Examiner

Insight Global

Cumru, PAJobSeen 2w agoSeen in employer's feed today

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At a glance

Compensation
No compensation found
Location
Cumru, PA
Work Authorization
Not specified

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Job overview

The Medical Only and Subrogation Oversight Claims Examiner manages Medical Only workers' compensation claims and oversees workers' compensation liens and subrogation matters. The role collaborates with claims examiners and other stakeholders to support timely, accurate claim resolution and protect the organization's financial interests.

Skills & qualifications

RequiredNice to have

Skills

Workers' Compensation Claims ManagementMedical Only Claims HandlingSubrogation PrinciplesLien ManagementContract LanguageIndemnification ClausesLiability AgreementsContract Law

Qualifications

Bachelor's in Business Administration, Risk Management, Healthcare Administration, Paralegal Studies, or Related FieldAssociate's Degree or Bachelor's Degree2+ Years Workers' Compensation, Insurance, or Related ExperienceParalegal CertificateWorkers' Compensation Certification

Full job description

Job Description

The Medical Only and Subrogation Oversight Claims Examiner is responsible for the management of Medical Only workers' compensation claims and the oversight of workers' compensation liens and subrogation matters. This position works collaboratively with Workers' Compensation Claims Examiners and various stakeholders to ensure timely and accurate claim resolution while protecting the organization's financial interests.

Skills and Requirements

  • Bachelor's degree in Business Administration, Risk Management, Healthcare Administration, Paralegal Studies, or a related field
  • An Associate's degree with additional relevant experience may be considered in lieu of a Bachelor's degree
  • Paralegal certificate or coursework in contract law is a plus
  • Workers' Compensation certification (e.g., Associate in Claims - AIC) preferred
  • Minimum 2–3 years of experience in workers' compensation claims management, insurance, or a related field
  • Experience handling Medical Only workers' compensation claims
  • Knowledge of subrogation principles and lien management within workers' compensation
  • Familiarity with contract language, including indemnification clauses and liability agreements

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to [email protected].

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