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Worker Compensation Manager Jobs in Tennessee (NOW HIRING)

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Worker Compensation Manager information

What does a worker compensation manager do?

A Worker Compensation Manager oversees an organization's workers' compensation program, ensuring that claims are processed efficiently and in compliance with relevant laws and regulations. They manage claims from employees injured on the job, work with insurance carriers, and coordinate with medical providers and legal professionals. Their responsibilities often include investigating workplace incidents, maintaining records, and developing policies to minimize workplace injuries. Ultimately, their role is crucial in protecting both the organization and its employees during workplace injury incidents.

What are the key skills and qualifications needed to thrive as a worker compensation manager?

To thrive as a Workers' Compensation Manager, you need expertise in claims management, risk assessment, and a solid understanding of workers' compensation laws, typically supported by a bachelor's degree in business, human resources, or a related field. Experience with claims management software, such as Risk Management Information Systems (RMIS), and relevant certifications like Certified Workers’ Compensation Professional (CWCP) are commonly required. Exceptional negotiation, analytical thinking, and interpersonal communication skills help in resolving claims efficiently and collaborating with multiple stakeholders. These abilities are crucial for minimizing company risk, ensuring compliance, and supporting injured employees through effective claims processes.

How does a worker compensation manager typically collaborate with HR and legal teams to handle complex claims?

A Worker Compensation Manager works closely with both HR and legal departments, especially when addressing complex or disputed claims. They coordinate with HR to gather necessary employee information and incident details, while partnering with legal experts to ensure compliance with state and federal regulations. Regular meetings and joint case reviews help ensure that every claim is managed efficiently, confidentially, and in line with organizational policies. This collaboration is essential for minimizing risk and supporting both the employee and employer through the claims process.

What is the difference between Worker Compensation Manager vs Claims Adjuster?

AspectWorker Compensation ManagerClaims Adjuster
Required CredentialsBachelor's degree, industry certificationsHigh school diploma, licensing often required
Work EnvironmentOffice-based, managerial settingFieldwork, office, or remote
Industry UsageInsurance, large corporations, governmentInsurance companies, third-party administrators
Primary FocusOverseeing workers' compensation claims process and complianceInvestigating, evaluating, and settling claims

The Worker Compensation Manager typically oversees the entire workers' compensation claims process, ensuring compliance and managing teams. In contrast, Claims Adjusters focus on investigating and settling individual claims. Both roles require knowledge of insurance policies and regulations, but the Manager has a broader, supervisory role, while the Adjuster handles specific claims details.

What are the most commonly searched types of Worker Compensation jobs in Tennessee?

The most popular types of Worker Compensation jobs in Tennessee are:

What cities in Tennessee are hiring for Worker Compensation Manager jobs?

Cities in Tennessee with the most Worker Compensation Manager job openings:

Revenue Specialist, Worker's Compensation (REMOTE)

EnableComp

Franklin, TN • On-site

Other

This job post has expired 2 days ago. Applications are no longer accepted.


EnableComp rating

8.7

Company rating: 8.7 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

48th of 496 rated business services


Job description

EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM intelligent automation platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery centers (ASCs) nationwide. Powered by proprietary algorithms, iterative intelligence from 10M+ processed claims, and expert human-in-the-loop integration, EnableComp provides solutions across the revenue lifecycle for Veterans Administration, Workers' Compensation, Motor Vehicle Accidents, and Out-of-State Medicaid claims as well as denials for all payer classes. By partnering with clients to supercharge the reimbursement process, EnableComp removes the burden of payment from patients and provider organizations while enabling accelerated cash, higher and more accurate yield, clean AR management, reduced denials, and data-rich performance management. EnableComp is a multi-year recipient the Top Workplaces award and was recognized as Black Book's #1 Specialty Revenue Cycle Management Solution provider in 2024 and is among the top one percent of companies to make the Inc. 5000 list of the fastest-growing private companies in the United States for the last eleven years.

Position Summary

The Revenue Specialist acts as the liaison between key client contacts and insurance companies. This position is responsible for handling patient health information (PHI) and maintaining extreme privacy and security as it relates to confidential and proprietary information.
Key Responsibilities
  • Analyze and evaluate worker's compensation claim payments using EnableComp's proprietary software, systems and tools. Use payment documentation provided by payers to determine if the medical provider has been reimbursed in compliance with the applicable state worker's compensation fee schedule and/or PPO contract.
  • Research, request and acquire all pertinent medical records, implant manufacturer's invoices and any other supporting documentation necessary and then submit with hospital claims to insurance companies to ensure prompt correct claims reimbursement.
  • Conduct timely and thorough telephone follow-up with payers to ensure claims with supporting documentation have been received and facilitate prompt reimbursement.
  • Prepare correct Workers' Comp initial bill packet or appeal letter using EnableComp systems tools and submit with all necessary supporting documentation to insurance companies
  • Other duties as required.
Requirements and Qualifications
  • High School Diploma or GED required. Associates or Bachelor's Degree preferred.
  • 1-2+ years' experience in healthcare field working in billing or collections.
  • 1+ years' client facing/customer services experience.
  • 1+ years' experience with workers compensation billing and collections a preferred.
  • Intermediate level understanding of insurance payer/provider claims processing and subsequent data requirements.
  • Must have strong computer proficiency and understand how to use basic office applications, including MS Office (Word, Excel, and Outlook).
  • Equivalent combination of education and experience will be considered.
  • To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.
  • Regular and predictable attendance.
Special Considerations and Prerequisites
  • Practices and adheres to EnableComp's Core Values, Vision and Mission.
  • Proven ability to meet and/or exceed productivity targets and goals.
  • Maintains stable performance under pressure or opposition. Handles stress in ways to maintain relationships with all stakeholders.
  • Must be a self-starter and able to work independently without direct supervision.
  • Proven written and verbal communication skills.
  • Strong analytical and problem solving skills.
  • Proven experience working with external clients; strong customer service skills and business acumen.
  • Ability to prioritize and manage multiple competing priorities and projects concurrently.
  • Must be able to remain in stationary position 50% of the time.
  • Occasionally moves about inside the office to access office equipment, etc.
  • Constantly operates a computer and other office equipment such as a copy/scan/print machine, phone and computer.
EnableComp is an Equal Opportunity Employer M/F/D/V. All applicants will be considered for this position based upon experience and knowledge, without regard to race, color, religion, national origin, sexual orientation, ancestry, marital, disabled or veteran status. We are committed to creating and maintaining a workforce environment that is free from any form of discrimination or harassment.

EnableComp recruits, develops and retains the industry's top talent. As the employer of choice in the complex claims industry, EnableComp takes pride in our continuous commitment to building and maintaining a culture centered around fostering the professional growth and development of our people. We believe that investing in our employees is the key to our success, and we are dedicated to providing them with the tools, resources, and support they need to thrive and grow their career here. At EnableComp, we are committed to living up to our core values each and every day, and we believe that this commitment is what sets us apart from other companies. If you are looking for a company that values its employees and is dedicated to helping them achieve their full potential, then EnableComp is the place for you.

Don't just take our word for it! Hear what our people are saying:
"I love my job because everyone shares the same vision and is determined and dedicated. People care about you as a person and your professional growth. There is a genuine spirit of cooperation and shared goals all revolving around helping each other." - Revenue Specialist

"I enjoy working for EnableComp because of the Core Values we believe in. EnableComp stands true to these values from empowering employees to ecstatic clients. This company is family oriented and flexible, along with understanding the balance of work, life, and fun." - Supervisor, Operations

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