Workers Comp - TPA Claims Manager

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Job ID:
2504697
Location:
Cleveland, OH
Category:
Admin-Clerical
Salary:
per year
Zip Code:
44101
Employment Type:
Full time
Posted:
09.12.2018
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Job Description:

Suburban Cleveland corporation is seeking a Worker's Comp TPA Claims Manager due to company expansion.

Responsibilities include:

    • Review of C9s, fee bills and medical records;
    • Process fee bills and oversee payments;
    • Calculate all compensation types and issue timely payments;
    • Monitor claims for potential settlement and review same with clients;
    • Determine appropriate reserves for each claim;
    • Prepare files for hearings of contested issues;
    • Manage reporting to excess insurance carriers;
    • Manage Medicare reporting;
    • Schedule IMEs and prepare communication package for medical provider;
    • Oversee and schedule client claim review meetings and prepare necessary reports;
    • Maintain ongoing interactions with injured workers, employers, attorneys and related medical providers;
    • Oversee Ohio BWC client audits; and
    • issue and file annual 1099s and 1096s to proper recipients and taxing authorities.

In addition to being able to preform all the above duties, 3+ years of self-insured WC claims management experience is required. Associate degree preferred but open to experience only.

Company Info