Workers Compensation Medical Case Manager

Salary Range: $64,617 - $112,916


Areas of Responsibility and Preferred Qualifications will include:

 

• Develop individual medical action plans to bring claims to appropriate closure.
• Identify specific claim issues encountered during daily medical management activities, determine appropriate solutions, and reach collaborative resolution of issues.
• Manage assigned inventory of claims to appropriate closure through application of pro-active medical consumerism activities including authorizations, referrals and reimbursement.
• Serve as a conduit of medical information by documenting and communicating relevant medical activity within the claims administration system and among appropriate claim parties.
• Build a strong partnership with paired adjuster in order to support and integrate the delivery of medical services into the overall claim strategy.