Claims Examiner - Full-time / Part-time

 

Voca has an immediate opening  available for  Claims Examiner professionals in Pasadena, CA!  If you are interested, please forward your resume to Tareyl Stewart at tstewart@myvoca.com and call him at 507.303.8177.   Thanks!

Position Details 

Job Description
PRIMARY PURPOSE

• To analyze complex or technically difficult claims to determine benefits due
• Work with high exposure claims involving litigation and rehabilitation
• Ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements
• Identify subrogation of claims and negotiate settlements.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES:

• Analyzes and manages complex or technically difficult claims by investigating and gathering information to determine the exposure on the claim
• Manages claims through well-developed action plans to an appropriate and timely resolution
• Assesses liability and resolves claims within evaluation
• Negotiates settlement of claims within designated authority
• Calculates and assigns timely and appropriate reserves to claims
• Manages reserve adequacy throughout the life of the claim
• Calculates and pays benefits due
• Approves and makes timely claim payments and adjustments
• Settles claims within designated authority level
• Prepares necessary state filings within statutory limits
• Manages the litigation process
• Ensures timely and cost effective claims resolution
• Coordinates vendor referrals for additional investigation and/or litigation management
• Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets
• Reports claims to the excess carrier
• Responds to requests of directions in a professional and timely manner
• Communicates claim activity and processing with the claimant and the client
• Maintains professional client relationships
• Ensures claim files are properly documented and claims coding is correct
• Refers cases as appropriate to supervisor and management

ADDITIONAL FUNCTIONS and RESPONSIBILITIES:

• Performs other duties as assigned
• Supports the organization' s quality program(s)
• Travels as required

WORK ENVIRONMENT: When applicable and appropriate, consideration will be given to reasonable accommodations. Mental:

• Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical:

• Computer keyboarding, travel as required

Auditory/Visual:

• Hearing, vision and talking

Qualifications
SKILLS & KNOWLEDGE:

• In-depth knowledge of appropriate insurance principles and laws for line of business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedure as applicable to line of business
• Excellent oral and written communication, including presentation skills
• PC literate, including Microsoft Office products
• Analytical and interpretive skills
• Strong organizational skills
• Good interpersonal skills
• Excellent negotiation skills
• Ability to work in a team environment
• Ability to meet or exceed Service Expectations

EXPERIENCE:

• Four (4) years of claims management experience or equivalent combination of education and experience required.
• Bachelor' s degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.

 

Shift

• Standard, 37.5 hours/week

 

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