Offer summary

Qualifications:

Bachelor's degree from an accredited college or university preferred., Four years of claims management experience or equivalent education and experience required., Must be licensed and familiar with Client/Client/VA/CT/DE., Strong understanding of workers compensation claims processes..

Key responsabilities:

Manage workers compensation claims and determine compensability and benefits.

Develop and manage action plans for claims resolution and coordinate return-to-work efforts.

Approve and process claims, ensuring proper documentation and coding.

Communicate with claimants and clients regarding claim actions and negotiate settlements.

Headquartered in Washington DC Metro Area, Cynet Systems is a top talent supplier for companies across North America. In 2017, Cynet Systems was recognized as one of the fastest growing companies in Virginia. It features as one among Virginia Chambers' -Fantastic 50- for the highest overall growth. Additionally we have been recognized as USPAACC Fast 100, Future 50 from Smart CEO, Featured in the Washington Business Journals Book of Lists and Smart CEO's Best Run company and awarded the Top North America Supplier- GOLD Star Partner for the last four years by one of the top 5 IT Services Company in the world. Our specialties in staffing and recruiting include the following: Infrastructure Consulting, Engineering Consulting, IT Consulting, Health care & Life Sciences Consulting, Government Consulting and Corporate Recruitment With a specialized recruiting army, we have developed a network of professionals who are poised to serve your need. Whatever the need, our specialists deliver! Check out our open jobs at our career section. Find something you're interested in? Talk to one of our recruiters. Send your resume to jobs@cynetsystems.com

Job description

Job Description:

Responsibilities:

Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.
Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments.
Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.
Manages subrogation of claims and negotiates settlements.
Communicates claim action with claimant and client.
Ensures claim files are properly documented and claims coding is correct.
May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.
Maintains professional client relationships.

Additional Functions And Responsibilities:

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

Qualifications Education And Licensing:

Bachelor's degree from an accredited college or university preferred.
Experience-Four (4) years of claims management experience or equivalent combination of education and experience required.

Requirements: