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      Education AssistanceHealth InsuranceRetirement Benefit

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      Workers' Compensation Adjuster

      BAYADA Home Health Care

      Pennsauken, NJ 08110

      $27-$29/hr

      Paid Relocation to Pennsauken, NJ

      RemoteHealth InsurancePaid Time OffRetirement Benefit

      • Handle a caseload between seventy-five (75) and one hundred fifty (150) active Workers' Compensation claims while maintaining accurate and complete information on each assigned file
      • Obtain timely medical reports from claimant's treating physicians and promptly inform BAYADA office staff of the findings
      • Timely investigation of claims
      • Appropriate and accurate coding of claims
      • Able to handle multiple tasks
      • Ability to read, write and effectively communicate in English
      • Proven ability to progressively work in a more independent fashion with moderate direction
      • Schedule follow-up appointments for any claimant who misses a regularly scheduled medical visit
      • Proficiency in infectious disease claims and communicating and implementing the associated BAYADA policies
      • Continuously evaluate defense counsel and other strategic partnerships to ensure effectiveness and address issues as needed
      • Ensure that each work-related injury is reported within the state's filing deadline
      • Proactively works and collaborates with Third Party Administrator (TPA) and defense counsel to create effective strategies
      • Initiate and independently research claim information through compilation of statistics, analyzing data and summarizing findings for review
      • Demonstrated proficiency in effectively and timely communicating with service offices, injured employees, and Third-Party Administrator
      • Ability to arrange information and files in a useful manner
      • Demonstrated record of strong interpersonal skills
      • Identification of and escalation of Third-Party Administrator service issues through to resolution
      • Ability to accurately evaluate and present settlement evaluations/recommendations
      • Coordinate placement of injured workers in modified or light-duty placements as directed by their treating physician; seek alternate work assignments for claimants if job opportunities do not exist within the company; facilitate completion of the company's light-duty payroll on a weekly basis
      • Minimum two (2) years of experience in Workers' Compensation claims handling
      • Four (4) year college degree preferred
      • Proficient in Microsoft computer products including Word, Excel, PowerPoint, and Outlook
      • Participate in special projects: prepare reports and presentations using Microsoft Office (Word, PowerPoint etc.)
      • Ongoing analysis of exposure and recommendations for mitigating the exposure and resolution of the claim is evidenced
      • Basic proficiency in handling litigated Workers' Compensation claims
      • Timely completion of Action List items
      • Assist in the creation and management of policies, practices and procedures related to BAYADA's Employee Claims and Safety office
      • Continue to develop knowledge base of claims handling and jurisdictional knowledge through claims handling and independent research
      • Acceptable pre-employment assessment results
      • No greater than 5% of caseload will be valued at greater than BAYADA's current deductible
      • Ensure that each BAYADA office has a reliable Panel List of Providers and maintain regular contact with office directors to guarantee continued satisfaction with ECS's outside medical vendors
      • Proven record of goal achievement
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