Serve as the primary workers compensation case management resource for Munson Healthcare employees.
Coordinate work-related injury cases from report through return to work, collaborating with Occupational Health providers, managers, employees, and third party administrators.
Oversee case management activities, return-to-work coordination, and claim administration support.
Provide telephonic case management to proactively drive return to work.
Perform utilization review and coordinate care with providers and adjusters.
Evaluate treatment plans and partner with adjusters to achieve optimal outcomes.
AmTrust Financial Services is a fast-growing commercial insurance company providing comprehensive telephonic case management. They foster a diverse and inclusive culture with a focus on attracting and retaining the best talent.
You will be the first point of contact for patients and their families over the phone, obtaining and verifying insurance and patient information.
You will schedule patient appointments including return visits, referrals, and diagnostic procedures.
You will greet patients professionally and respond effectively to their needs.
Munson Healthcare is northern Michigan's largest healthcare system with eight award-winning community hospitals serving over half a million residents. The company values excellence, teamness, positivity, and creativity, and offers a supportive culture with opportunities for growth and well-being.
Manage a docket of workers' compensation cases to resolution.
Prepare clients for depositions and attend depositions.
Respond to client inquiries requiring attorney negotiation and move matters towards resolution.
We are a leading employment and workers' compensation law firm dedicated to advocating for employees' rights. We foster a dynamic and collaborative work environment where professionals can grow while making a meaningful impact.
Serve as strategic advisor and liaison between clients, insurance carriers, and TPAs for workers' compensation claims.
Monitor claims, advocate for investigation, and identify cost containment and fraud prevention opportunities.
Educate clients on claim processes, return-to-work strategies, and maintain compliance with state regulations.
Trucordia is an insurance brokerage built from successful businesses across the US, offering tools and solutions for clients. With over 5,000 team members in 200 offices, the company values caring, collaboration, and results-oriented culture.
Handle high-exposure and complex workers' compensation claims in multiple jurisdictions as a technical Subject Matter Expert.
Serve as primary liaison for key business partnerships and lead claims-related account management for large clients.
Investigate, evaluate, and resolve litigated claims while maintaining compliance with jurisdictional regulations.
BerkleyNet is an innovative workers compensation insurance provider that operates entirely online. The company is part of W.R. Berkley Corporation, a Fortune 500 company known for its fast and easy service culture.
Investigate, evaluate, and adjust workers' compensation claims with empathy and sound judgment.
Manage a portfolio of claims for a large PEO account, leading investigations and negotiations.
Ensure compliance with state laws and corporate standards while delivering fair, timely outcomes.
CCMSI partners with global clients to solve complex risk management challenges through advanced technology and collaborative problem-solving. As the largest privately owned Third Party Administrator, it is a certified Great Place to Work® with employee-owners empowered to grow and collaborate.
Manage and investigate workers' compensation lost time claims to determine compensability and benefit eligibility.
Collaborate with injured workers, employers, and medical providers to facilitate timely return to work and cost-effective outcomes.
Oversee litigation, negotiate settlements, and ensure compliance with jurisdictional requirements.
Encova Insurance is a provider of insurance products and services, specializing in workers' compensation and property insurance. The company fosters a collaborative and inclusive culture, offering challenging opportunities and emphasizing continuous learning and growth.
Processes referral requests and authorizations for patients, ensuring timely and accurate scheduling.
Communicates with physicians, employers, and payors to coordinate specialist referrals and obtain necessary information.
Maintains high standards of quality and patient experience while meeting production requirements.
Concentra operates over 500 medical centers and 130 onsite clinics nationwide, focusing on providing high-quality healthcare to improve the health of America's workforce. The company emphasizes a culture of outstanding patient experience and customer service.
Serve as the first point of contact for patients and families, obtaining and verifying insurance and patient information with accuracy.
Schedule patient appointments, including return office visits, referrals, and diagnostic testing or procedures.
Greet patients professionally over the telephone and respond effectively to their needs.
Munson Healthcare is northern Michigan's largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties. The organization emphasizes a culture of excellence, teamness, positivity, and creativity, offering a supportive community in a scenic region.
Manage a high-volume Workers' Compensation caseload, including client communication and case file evaluation.
Attend all relevant hearings at WCAB locations and maintain detailed case notes.
Utilize knowledge of CA Workers' Compensation law, EAMS, and e-filing processes to handle cases efficiently.
Abramson Labor Group is a law firm dedicated to defending employee rights against employers of all sizes. They have a team of skilled attorneys and legal professionals based in Burbank, California, who work tirelessly to secure justice in workplace disputes.
Independently manage workers' compensation claims from initial setup through resolution.
Conduct thorough investigations and evaluate claim exposure to determine compensability.
Deliver excellent customer service while collaborating with internal and external partners.
Our partner is a technology-driven insurance organization focused on improving the small business experience. They foster a collaborative culture built around innovation, ownership, and continuous improvement.
Investigates complex Workers Compensation claims to determine coverage, compensability, and exposure.
Manages litigated files and participates in settlement negotiations and strategy discussions.
Uses data analysis and medical management strategies to resolve high-severity cases effectively.
Liberty Mutual is a diversified insurer offering a range of insurance products and services. The company has a large workforce and fosters an inclusive culture with a focus on professional development and employee well-being.
Act as the primary point of contact for patients, healthcare providers, and program stakeholders.
Manage patient access, reimbursement, and therapy support processes.
Build trusted relationships with healthcare professionals and ensure coordinated care.
A healthcare services organization that partners with patients and providers to navigate complex treatment processes. The culture is purpose-driven, collaborative, and inclusive, with an emphasis on improving health outcomes.
Examines claims data and conducts investigations into routine and moderately complex claims to determine coverage and compensability.
Adjusts and manages claims within the limit of assigned authority, setting reserves and coordinating return to work.
Handles litigation and catastrophic claims with supervisory oversight, adhering to special account handling instructions.
Crum & Forster (C&F) provides market leading property & casualty, accident & health, specialty and standard commercial lines insurance solutions. With 3000 employees, the company is consistently recognized as a great place to work.
Manage a diverse caseload of Workers' Compensation defense matters from inception through resolution with autonomy in a remote environment.
Collaborate with senior attorneys to develop litigation strategies and conduct comprehensive medical record analysis.
Draft substantive legal documents including motions, pleadings, and discovery responses while maintaining proactive client communication.
Kelley Kronenberg is a law firm specializing in Workers' Compensation Defense representation. They are a well-established team with a focus on precision and technical proficiency, fostering an inclusive and diverse work environment.
Provide telephone support to patients, healthcare professionals, and funding organizations regarding access, reimbursement, compliance, and support programs.
Manage assigned patient cases and projects while following established operational processes and service standards.
Maintain accurate case documentation within program databases, ensuring all activities and interactions are properly recorded.
This role is posted on behalf of a partner company, which manages all applications and next steps. The company focuses on healthcare support and improving patient access to therapies, with a collaborative culture and opportunities for professional growth.
Assist with reimbursement processes and manage coverage-related requests.
Coordinate case documentation, follow-up activities, and resolve routine issues.
Maintain accurate records and support process improvement initiatives.
This position is listed on behalf of a partner company that manages applications and next steps. They focus on improving patient access to essential therapies, and the role offers a purpose-driven healthcare environment with opportunities for professional growth.
Support the Workers Compensation Team with scheduling court appearances and mediations.
Field calls from corporate clients and draft correspondence regarding hearings and meetings.
Handle overflow duties from the busy Legal Assistant team and thrive in a fast-paced environment.
Kelley Kronenberg defends workers’ compensation claims on behalf of employers, insurance carriers, and self-insured corporations. The firm offers a diverse and inclusive work environment with ongoing professional development and career support.
Ensure data accuracy and input on the computer billing system, updating patient and insurance information.
Handle patient inquiries regarding insurance, credit, and billing issues; review and mail statements; file electronic claims.
Follow up on litigation cases, scan documents into electronic medical records, and coordinate with physicians for documentation.
Munson Healthcare is northern Michigan's largest healthcare system, with eight community hospitals serving over half a million residents. They prioritize a culture of excellence, teamness, and creativity, committed to exceptional experiences for patients and teammates.
Manage a full caseload of workers' compensation defense cases remotely from inception through resolution.
Develop effective case strategies in collaboration with clients and team members to align with goals.
Represent the firm in hearings, mediations, and other dispute resolution proceedings with strong advocacy skills.
Kelley Kronenberg is a non-traditional, progressive full-service law firm specializing in workers' compensation defense. The firm values diversity, equality, and inclusion, offering a supportive environment with professional growth opportunities and a focus on client service.