Workers Compensation Claims Examiner
Company Name:
Safeway
## Job Description
The Portland Division''s Workers Compensation/Risk Management Department located in Clackamas, Oregon has an opening for a Claims Examiner.
Qualifications: The following are preferred or desired unless specifically stated:
4 year college degree or equivalent professional experience.
Oregon Certified Claims Examiner with minimum 3 years experience.
Washington Certification and experience
Knowledge of Oregon and Washington Workers'' Compensation statues, medical terminology, treatment protocol, PD rating system, litigation, and vocational rehabilitation.
Problem solving, decision making, and negotiation skills.
Excellent oral and written communication skills.
Able to work independently and within a team, maintain a diary system, handle multiple assignments, set priorities, organize, and meet deadlines.
Good interpersonal skills with strong customer focus.
Computer knowledge of Microsoft Professional, Outlook, and automated claims system experience.
Key Responsibilities include, but are not limited to:
Apply case management skills designated to avoid and equitably resolve litigation.
Work with injured workers and physicians to aid in the return from modified work to full work duties.
Investigate claims, evaluate exposure, and determine whether benefits are payable.
Provide authorization and direct activities of outside investigators, nurse case managers and legal counsel.
Daily data entry updates, maintenance of diary system, and monitor computer reports for accuracy.
Authorize, control, and process medical treatment and work with multiple MCO''s to manage medical costs.
Utilize Plan of Action analysis form to outline course of action /case handling to appropriate claim closure.
Working with a paperless claims system.
Communicate and interact with injured workers, attorneys, physicians, vendors, disability evaluation bureau, facility management, Division and Corporate Office personnel.
Negotiate settlements with attorneys and injured workers, and issue settlement benefits as approved by the departments.
Respond to various administrative inquires from the DCBS and L&I; Departments.
Participate in developing and implementing company, department and individual goals.
Participate in store and district meetings to train store personnel on loss control and claim management procedures.
Comply with internal and external guidelines to positively impact team and individual performance.
Perform other duties as assigned.
Salary: Salary will be commensurate with experience and qualifications.
Job Title: Worker''s Compensation Claims Examiner
Company: Safeway Inc
Country: U.S.
State/Province: Oregon
City: Clackamas
Position Category: Risk Management / Workers Comp
Requisition Number: RSKM121051Estimated Salary: $20 to $28 per hour based on qualifications.
Safeway
## Job Description
The Portland Division''s Workers Compensation/Risk Management Department located in Clackamas, Oregon has an opening for a Claims Examiner.
Qualifications: The following are preferred or desired unless specifically stated:
4 year college degree or equivalent professional experience.
Oregon Certified Claims Examiner with minimum 3 years experience.
Washington Certification and experience
Knowledge of Oregon and Washington Workers'' Compensation statues, medical terminology, treatment protocol, PD rating system, litigation, and vocational rehabilitation.
Problem solving, decision making, and negotiation skills.
Excellent oral and written communication skills.
Able to work independently and within a team, maintain a diary system, handle multiple assignments, set priorities, organize, and meet deadlines.
Good interpersonal skills with strong customer focus.
Computer knowledge of Microsoft Professional, Outlook, and automated claims system experience.
Key Responsibilities include, but are not limited to:
Apply case management skills designated to avoid and equitably resolve litigation.
Work with injured workers and physicians to aid in the return from modified work to full work duties.
Investigate claims, evaluate exposure, and determine whether benefits are payable.
Provide authorization and direct activities of outside investigators, nurse case managers and legal counsel.
Daily data entry updates, maintenance of diary system, and monitor computer reports for accuracy.
Authorize, control, and process medical treatment and work with multiple MCO''s to manage medical costs.
Utilize Plan of Action analysis form to outline course of action /case handling to appropriate claim closure.
Working with a paperless claims system.
Communicate and interact with injured workers, attorneys, physicians, vendors, disability evaluation bureau, facility management, Division and Corporate Office personnel.
Negotiate settlements with attorneys and injured workers, and issue settlement benefits as approved by the departments.
Respond to various administrative inquires from the DCBS and L&I; Departments.
Participate in developing and implementing company, department and individual goals.
Participate in store and district meetings to train store personnel on loss control and claim management procedures.
Comply with internal and external guidelines to positively impact team and individual performance.
Perform other duties as assigned.
Salary: Salary will be commensurate with experience and qualifications.
Job Title: Worker''s Compensation Claims Examiner
Company: Safeway Inc
Country: U.S.
State/Province: Oregon
City: Clackamas
Position Category: Risk Management / Workers Comp
Requisition Number: RSKM121051Estimated Salary: $20 to $28 per hour based on qualifications.
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