Self Insured Claims Adjuster

Columbus, OH
30+ days ago

Job Description

Come be a part of one of the fastest growing and most well-respected risk management companies.

The Matrix Companies is an entrepreneurial, risk management organization with unlimited growth potential. If you are passionate about performance, driving the profitability of a growing company and exceeding expectations at all times – Matrix is right for you!

PURPOSE

Serve as the single point of contact for assigned Self Insured clients. Responsible for all phases of self-insured workers’ compensation program including but not limited to aggressive claims management, general administration, and client relations. The SI Account Executive position requires special focus on risk management strategies and exceptional customer service.

RESPONSIBILITIES

  • Assist and advise clients on all aspects of self-insured workers’ compensation programs and provide aggressive claims management.
  • Develop action plans that utilize best practice strategies to improve return to work and cost controls.
  • Coordinate referrals to partner entities for investigations, field case management, and other cost containment services.
  • Calculate and assign appropriate reserves to claims; monitor reserve adequacy for life of claim.
  • Communication with injured workers, employers, attorneys, and related medical providers.
  • Review all medical treatment requests (C9s), fee bills, and medical records for appropriateness and process fee bill payments, reductions and denials.
  • Ensure client self-insured program is compliant with all state rules and regulations including filing of all required State forms, reports and data. Assist with and ensure SI-40 reporting (Ohio).
  • Regularly coordinate and attend client meetings for program review, strategies, and claim reserves

JOB REQUIREMENTS

  • Positive attitude, energetic, and team player mentality
  • Excellent oral and written communication skills
  • Ability to Effectively Prioritize
  • Workers’ Compensation Knowledge

WHAT’S IN IT FOR YOU?

  • Competitive salary
  • Personal and Professional Development Training
  • Best Places to Work culture
  • Monthly massages and activities
  • Competitive Benefits package

CORE VALUES

  • Act like you own it
  • Be passionate
  • Do what you say, say what you do
  • Do the right thing…always
  • Play well with others
  • Pay it forward

Job Type: Full-time

Experience:

  • Workers' Compensation: 3 years (Preferred)

Work Location:

  • One location

Source

https://www.indeed.com/jobs

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