Medical Tpa Jobs in Indiana (NOW HIRING)

The primary focus of the Worker's Compensation Coordinator's responsibility is to assist the field staff and profit centers with processing any Loss Control Services related tasks such as Workers' Compensation claims in their entirety, Certificate of Insurance requests, assist field offices and profit centers in proper assignment of Workers' Compensation codes. Consistent communication with the field offices, profit centers, insurance carriers, TPA, medical providers and the Loss Control team is mandatory. Logging accurate notes into the system for all interactions regarding each claim is critical. HIPAA, Medical Records, Workers' Compensation claims, and general insurance knowledge is a plus.

Position Responsibilities

Process and manage Workers' Compensation claims from beginning to end.

Maintain updated claim information in the operational software systems as required.

Maintain and update logs and follow-up activities in the Workers' Compensation system by due dates for later action.

Maintain and process all documentation for Workers' Compensation injury reports, including follow-up of all medical appointments, modified duty accommodations, drug-screen results when required, etc.

Create and process all required Workers' Compensation reports within the assigned frequency.

Create and customize Workers' Compensation reports for branches, RVP's, upper management, and executives as requested.

Manage reserves up to $10,000 working with the assigned claims adjuster.

Manage reserve requests at levels above $10,000 to get approval following department protocol and completing all required documentation.

Develop and provide resolution options/ideas for closure of claims.

Process all Certificate of Insurance requests for assigned states and when assistance is needed with other states.

Process all Worker's Compensation Class Code requests in assigned states and when assistance is needed with other states.

Log and review invoices, codes, and process to carrier/ TPA and/or AvidXchange.

Answer calls and other communications from field branches and profit centers.

Provide consistent communication to branch offices field staff, profit centers, TPA and/or adjusters regarding all open claims.

Update field staff and profit centers of claim status as appropriate.

Provide consistent support, direction, and guidance to field staff and profit centers.

Collaborate and provide documents and training for field staff and profit centers as needed.

Maintain knowledge of any law changes relating to the Workers' Compensation claims and insurance industry, including state specific changes.

Maintain knowledge of workplace safety and health topics, including OSHA and other government regulations

Provide support and assistance to other members of the Loss Control Services team.

Maintain communication and collaboration with the Loss Control Services Supervisor including but not limited to all team members.

Utilize corporate resources efficiently and appropriately.

All other duties as assigned.

Position Qualifications

High School Diploma required

1 or more years of knowledge and experience related to Workers' Compensation claims preferred

Excellent oral and written communication skills

Ability to organize and manage multiple priorities/projects

Ability to meet deadlines

Strong problem-solving skills

Possess strong computer skills

Detail oriented

Strong customer service orientation

Maintain a professional appearance

Initiate on-going self-improvement in relation to job development

Strong commitment to company values and operating principle

Must have the ability to work well with others

The Benefits:

We take care of our team and provide great benefits:

Paid Time Off (PTO)

Competitive Health Benefits

Career Journey planning and employee recognition

Culture is important tousand there arenumerousoptions to get involved and collaborate, including giving back to our local communities, staying fit, joining our cultural networks, and having fun and celebrating together!

The Company:Peoplelinkhas been a cutting-edge leader in the staffing industry, placing more than 14,000 employees on job assignmentseach and everyday. Your contributions, both big andsmallwill be valued, recognized, and rewarded at every step along our exciting journey. Our team is passionate about growth, innovation, and collaboration. We are constantly striving to improve and better ourselves so that we can better support our customers.

Physical Requirements: Typical office environment. To successfully perform the duties of this job, the staff associate must have the ability to stand, walk, stoop, kneel,crouchand manipulate light to medium weights of 10 - 50 pounds. Requires good hand/eye coordination, arm/hand/ finger dexterity including the ability to grasp and visual acuity to use a keyboard,operateoffice equipment and read and write the application information. The Collections Agent isfrequentlyrequired to sit, reach with hands and arms,talkand hear. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonableaccommodationsmay be made to enable individuals with disabilities to perform the essential functions. This person will perform this jobundernormaloffice work environment.

PeopleLink Group is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation, and gender identity), national origin, age, disability, genetic information, or any other protected status under federal, state, or local law. We are committed to fostering a diverse and inclusive workplace.

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