
Eligibility Assessment Specialist
1 week ago
About the Role:
We are seeking a skilled professional to join our team as an Eligibility Assessment Specialist.
In this role, you will be responsible for making decisions on whether to accept or reject claims and transitioning them to Case Managers for ongoing management.
You will also calculate PIAWE, advise Dispute Resolutions Managers on the rationale for original decisions, and identify the recovery potential of claims.
To succeed in this position, you will need to possess strong problem-solving and decision-making skills, as well as excellent work management, communication, and customer service skills.
Key Responsibilities:
- Make informed decisions on claim eligibility
- Transition claims to Case Managers for ongoing management
- Calculate PIAWE and provide advice to Dispute Resolutions Managers
- Identify the recovery potential of claims
Required Skills and Qualifications:
- 2 years or more experience in initial claims assessment (Case Manager) or 1 year or more in a paralegal or legal assistant position
- Strong working knowledge of relevant legislation and regulations
- Excellent analytical and problem-solving skills
- Ability to work effectively in a team environment
Benefits:
This role offers a competitive salary and benefits package, as well as opportunities for career growth and development.
About Us:
We are a leading provider of workers' compensation claims management services. Our goal is to return people to work and health as quickly and effectively as possible by providing the right services at the right time.
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