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Workers Comp Liaison Jobs (NOW HIRING)

CHI Health Clinic

RN Workers Comp Coordinator

Omaha, NE

$29.36 - $43.68/hr

Serves as a liaison between healthcare personnel, nurse case managers, rehabilitation professionals ... working with nurse case managers and insurance claims adjusters. Obtain approval by the Work Comp ...

CHI Health Clinic

RN Workers Comp Coordinator

Omaha, NE · On-site

$29.36 - $43.68/hr

Serves as a liaison between healthcare personnel, nurse case managers, rehabilitation professionals ... working with nurse case managers and insurance claims adjusters. Obtain approval by the Work Comp ...

CHI Health Clinic

RN Workers Comp Coordinator

Omaha, NE · On-site

$29.36 - $43.68/hr

Serves as a liaison between healthcare personnel, nurse case managers, rehabilitation professionals ... working with nurse case managers and insurance claims adjusters. Obtain approval by the Work Comp ...

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Workers Comp Liaison information

What is a workers comp liaison?

A Workers Comp Liaison is a professional who acts as a bridge between employees, employers, insurance companies, and healthcare providers in the management of workers' compensation claims. Their main role is to ensure effective communication and smooth coordination throughout the claims process, helping injured employees receive appropriate care and benefits. They also assist in resolving disputes, providing information about workers’ compensation laws and procedures, and supporting return-to-work programs. By managing these interactions, Workers Comp Liaisons help streamline the process and reduce misunderstandings or delays.

What are the key skills and qualifications needed to thrive as a workers comp liaison?

To thrive as a Workers Comp Liaison, you need a solid understanding of workers' compensation laws, insurance processes, and case management, often supported by a degree in a related field or relevant experience. Familiarity with claims management systems, compliance software, and medical terminology is typically required. Strong communication, problem-solving, and organizational skills help in coordinating between injured employees, healthcare providers, and insurers. These skills ensure efficient case resolution, regulatory compliance, and effective support for all parties involved.

How does a workers comp liaison typically collaborate with medical providers and insurance carriers?

A Workers Comp Liaison plays a key role in facilitating communication between injured employees, medical providers, and insurance carriers. They ensure that all necessary documentation is submitted promptly, coordinate medical appointments, and clarify any questions that arise during the claims process. This collaboration helps to streamline case management, expedite return-to-work plans, and resolve any issues that could delay claims approval or medical treatment. Strong interpersonal and organizational skills are essential for building positive relationships and ensuring all parties stay informed throughout the process.

What is the difference between Workers Comp Liaison vs Claims Adjuster?

AspectWorkers Comp LiaisonClaims Adjuster
CredentialsTypically requires insurance or workers' compensation knowledge, certifications varyRequires licensing, certifications like CPCU or adjuster licenses
Work EnvironmentOffice-based, liaising between injured workers, employers, and insurance companiesOffice or field-based, investigating claims, assessing damages
Employer & Industry UsageCommon in insurance, healthcare, and employer settingsWidely used in insurance companies, third-party administrators
Search & Comparison IntentOften compared for roles involving injury claims management and communicationCompared for claims processing and settlement roles

The main difference is that a Workers Comp Liaison primarily facilitates communication between injured workers, employers, and insurance providers, focusing on claims support. In contrast, a Claims Adjuster investigates and evaluates claims to determine coverage and settlement. Both roles require knowledge of workers' compensation policies but serve different functions within the claims process.

What states have the most Workers Comp Liaison jobs?

States with the most job openings for Workers Comp Liaison jobs include:

What are popular job titles related to Workers Comp Liaison jobs?

For Workers Comp Liaison jobs, the most frequently searched job titles are:

RN Workers Comp Coordinator

Omaha, NE

CHI Health Clinic
See more jobs at CHI Health Clinicexternal

$29.36 - $43.68/hr

Full-time

Posted 27 days ago

Job description


Job Summary and Responsibilities

As our RN Workers Comp Coordinator, you will manage the Workers' Compensation programs for CHI Health Orthopedics which includes coordinating care for Workers' Compensation patients. Serves as a liaison between healthcare personnel, nurse case managers, rehabilitation professionals, personnel representatives, claims adjusters, attorneys, and patients for individuals who are disabled due to an injury or illness. Assists in the medical and legal aspects of Workers' Compensation working with claims adjusters, nurse case managers, and attorneys. Meets with companies, nurse case managers, and insurance adjusters to expand the business of CHI Health Orthopedics.

  • Screen telephone calls for Workers' Compensation new appointments to include gathering demographic data, obtaining prior medical records and verifying insurance coverage for the scheduled appointment.
  • Obtains approval or authorization for additional testing and surgical procedures by working with nurse case managers and insurance claims adjusters. Obtain approval by the Work Comp insurance carriers of all WC surgeries that are performed by the surgeons in our department. (Upon receiving the written authorization for the procedure it will be given to the medical provider's surgery scheduler who will schedule the approved procedure.)
  • Facilitates collection of pertinent patient medical records with a summary letter from the assigned nurse case manager or insurance claims adjuster to forward to the appropriate orthopedic surgeon for review of a second opinion. Obtain the x-ray and MRI CD's on medical records requests and send to the requesting party.
  • Prepare and maintain a tracking system for outstanding charges and pre-payment charges for narrative reports, record reviews, and etc. for Workers' Compensation and personal injury patients.
  • Communicate with nurse case managers, insurance claims adjusters, and human resource personnel to ensure that all information (dictation, work restriction releases, etc.) for Workers' Compensation patients are received in a timely fashion.
Job Requirements

Required:

  • Current Registered Nurse (RN) license that allows you to practice in our state
  • Graduate of an accredited nursing program
  • Experience in occupational health nursing and case management strongly preferred
Where You'll Work

From primary to specialty care, as well as walk-in and virtual services, CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations; with some clinics offering extended hours.


Pay Range
$29.36 - $43.68 /hour

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