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Handles workers’ compensation medical-only and indemnity claims from investigation through resolution. Verifies coverage, determines compensability and causation, establishes reserves, manages medical bills and vendors, negotiates settlements, facilitates return to work, documents potential subrogation, and closes claims in compliance with applicable laws and internal standards.

Provides administrative and operational support to claims teams by handling correspondence, check printing and deposits, claim inquiries, file documentation and closure, medical bill calculations, payment processing, and file reviews. Ensures accurate, timely claim payments and compliance with workers’ compensation requirements. Requires customer service, organization, communication, data entry, analytical, and Microsoft Windows skills, along with at least two years of administrative experience.

Operates and improves secure, highly available infrastructure across RHEL, Windows, Azure, and multi-cloud environments. Responsibilities include server and network installation, maintenance, monitoring, troubleshooting, patching, automation, middleware support, security, disaster recovery, vendor coordination, documentation, and on-call support. The role also leads technical projects, mentors junior staff, supports development environments, manages asset lifecycles, and participates in infrastructure planning and optimization.

Handles moderately difficult and complex workers’ compensation claims, investigating compensability, determining reserves, managing medical bills, negotiating settlements, and closing claims. Administers catastrophic exposures within authority, exercises independent judgment, supports agent and client relationships, and may mentor team members. Requires knowledge of workers’ compensation laws, medical and legal terminology, claims investigation, negotiation, documentation, and independent problem-solving. Work occurs in an office setting with minimal travel.

Handles moderate, difficult, and catastrophic workers’ compensation claims from investigation through settlement and closure. Determines compensability, causal relationships, reserves, medical bill payments, and subrogation opportunities. Negotiates settlements, manages vendors and complex files, facilitates return to work, applies workers’ compensation laws, maintains claim documentation, supports client relationships, and mentors team members.

Handles workers’ compensation medical and indemnity claims from investigation through settlement and closure. Verifies coverage, determines compensability and causation, sets reserves, manages medical bills and vendors, identifies subrogation opportunities, negotiates settlements, facilitates return to work, and ensures compliance with applicable statutes and internal standards. Escalates complex files, maintains accurate documentation, and builds effective relationships with internal and external stakeholders.

Handles workers’ compensation medical-only and indemnity claims from investigation through settlement and closure. Verifies coverage, determines compensability and causation, establishes reserves, manages medical bills, identifies subrogation opportunities, facilitates return to work, negotiates settlements, and ensures compliance with applicable laws and internal standards. Collaborates with managers on complex claims and manages outside vendors for cost containment while maintaining effective customer relationships.

Handles workers’ compensation medical-only and indemnity claims, including coverage verification, compensability investigations, benefit and reserve determinations, medical bill management, subrogation documentation, settlement negotiations, file closure, and return-to-work facilitation. Maintains compliance with applicable statutes and case law, manages outside vendors for cost containment, and escalates complex claims or matters exceeding authority.

Manages the enterprise Data Governance and Analytics Center of Excellence, leading staff, governance initiatives, analytics strategy, maturity modeling, budgets, vendors, and planning. Coordinates data quality, stewardship, privacy, acquisition, and release programs while partnering with data scientists, engineers, technology governance teams, and business stakeholders. Develops executive presentations, aligns enterprise definitions and algorithms, establishes standards, and ensures analytics projects and business cases meet organizational objectives and deadlines.

Handles workers’ compensation medical and indemnity claims from investigation through settlement and closure. Verifies coverage, determines compensability and causation, establishes reserves, manages medical bills and vendors, negotiates settlements, identifies subrogation opportunities, facilitates return to work, and ensures compliance with applicable laws and performance standards.