Posted 4 days ago
Claims Examiner-Workers' Compensation
AI Summary
Examines and manages workers' compensation claims, including receiving injury reports, coordinating medical bills, entering claim data, and determining claim approval or denial per Nebraska law.
About this role
The main purpose of this position is to examine and manage both medical only and lost time workmen's compensation claims in accordance with the Nebraska Workmen's Compensation Act.
ESSENTIAL JOB FUNTCIONS
The job functions listed below represent the essential job duties and responsibilities of the above- listed position.
• Receive phone calls from employees reporting of an injury, filing a claim, or inquiring about a claim.
• Coordinate medical bills and manage claims related to an injury, until the claim is closed.
• Enter data into the computer system dealing with information within a claim such as medical status, medical bills, reports, and wage loss.
• Examine Workmen's Compensation claims and determine approval or denial of claims.
• Perform other related duties as assigned by supervisory personnel.
KNOWLEDGE, SKILLS, AND ABILITIES
The requirements listed below are representative of the knowledge, skill, and/or ability required.
Reasonable accommodations may be made to enable individuals with disabilities to perform the
essential functions.
• Strong written and oral communication skills.
• Ability to communicate with customers, drivers, and co-workers in a courteous, sensitive and
professional manner.
• Excellent decision making skills.
• Knowledge in operating a PC.
EDUCATION AND EXPERIENCE
• Minimum of an Associate's degree from an accredited college with emphasis in Business Management
or Insurance preferred or equivalent experience.
• Knowledge of medical terminology required.
• Two to three years experience with workers' compensation claims processing or equivalent experience
preferred.
• One to two years of experience in insurance operations preferred.
• Receive phone calls from employees reporting of an injury, filing a claim, or inquiring about a claim.
• Coordinate medical bills and manage claims related to an injury, until the claim is closed.
• Enter data into the computer system dealing with information within a claim such as medical status,
medical bills, reports, and wage loss.
• Examine Workmen's Compensation claims and determine approval or denial of claims.
• Perform other related duties as assigned by supervisory personnel.
Werner Enterprises provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, genetic information or veteran status or other status protected by law. We encourage applicants of all ages as we do not discriminate on the basis of an applicant's age.
By clicking “Submit” you are expressly consenting to our Privacy Policy (available at https://www.werner.com/privacy-policy/) and to Werner Enterprises, Inc., its representatives, and affiliates (“Werner”) contacting you about your inquiry, and that Werner may collect sensitive information about you to consider your employment as explained further in our Privacy Policy. All information collected will be handled and retained as explained in the Privacy Policy.
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