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DXC Claims Management seeks a Claim Specialist to manage workers' compensation claims beyond 78 weeks, focusing on ongoing support and reviewing entitlements for injured workers.
Key Responsibilities- Claim Review: Assess medical reports, rehabilitation progress, and vocational assessments to determine capacity to return to work.
- Customer Engagement: Serve as main point of contact for injured workers, employers, and healthcare providers. Communicate clearly and empathetically to inform claim status, treatment plans, and return-to-work expectations.
- Treatment Coordination: Work with healthcare providers to ensure appropriate medical treatment. Approve treatment plans, schedule appointments, monitor progress to facilitate recovery.
- Expense Processing: Process payments for medical treatment, disability benefits, and other claim-related expenses; ensure accuracy and timeliness.
- Case Reviews and Conferences: Participate in case conferences with stakeholders to evaluate progress and make informed decisions about the claim.
- Record Keeping and Compliance: Maintain accurate records; ensure regulatory and company policy compliance to protect all parties involved.
By focusing on these responsibilities with empathy, professionalism, and commitment to excellence, you can effectively manage your portfolio of workers' compensation claims and support injured workers in their journey.
Essential Skills and Qualifications- Strong analytical and reasoning skills
- Ability to plan and organize work effectively to manage timeframes and priorities
- Experience working concurrently across multiple technology platforms
- High level of organizational skills and attention to detail
- Excellent written and interpersonal communication skills
- Ability to work effectively within a team in an office-based environment
- Exceptional customer service skills with a focus on delivering high-quality outcomes
- Sensitivity to issues related to people with medical, cultural, and social needs
- Previous experience in workers' compensation case management or a related field
- Knowledge of workers' compensation legislation and regulatory requirements
- Relevant qualifications in allied health, social work, or a related discipline
This role requires a proactive approach to ensuring injured workers receive timely support and optimal care. If you have a passion for helping others and excel in fast-paced environments, we encourage you to apply.
