Description
Recovery Specialist I
CLAIM YOUR FUTURE AS A GREAT PERFORMER!
Continuing double-digit revenue growth rates and progressive employment practices make Sedgwick Claims Management Services the place where great people can do great things for clients while maximizing their career possibilities. We have earned a reputation for innovation, quality, sustained growth, financial stability and a colleague-friendly work environment. We are proud to have been voted the Best TPA in America for 2005 and 2006, and the first and only Third Party Administrator to receive the coveted Employer of Choice designation. Come be a part of our team and "Claim Your Future."
PRIMARY PURPOSE:� To identify and pursue potential Second Injury Fund and subrogation recoveries associated with workers compensation claims.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
- Reviews workers compensation claims to determine if potential for Second Injury Fund recoveries exist.
- Pursues medical information necessary to qualify claim for acceptance by the Second Injury Fund.
- Pursues information necessary to satisfy the Second Injury Fund's knowledge requirement.
- Determines from knowledge and medical information secured whether to submit claim warrants to Second Injury Fund for acceptance.
- Approves and/or pays bills as appropriate.
- Reviews workers' claims and conducts investigations to determine if potential for subrogation exists.
- Gathers information necessary to support viable subrogation claim.
- Notifies appropriate parties of subrogation lien.
- Secures recovery from responsible parties.
- Prepares various type status reports for clients.
- Enters recoveries into the claims management system.
- Obtains settlement authority from state funds and negotiates compromise settlements with state funds.
- Maintains a quality assurance program to support the total performance management initiative and the delivery of quality claims service consistently.
- Travels as required.
QUALIFICATIONS
Education & Licensing
Baccalaureate degree from an accredited college or university preferred.
Experience
Three (3) years of claims experience required.
Skills & Knowledge
- Thorough knowledge of claims management processes and procedures
- Excellent oral and written communication
- PC literate, including Microsoft Office products
- Strong organizational skills
- Excellent interpersonal skills
- Ability to work in a team environment
- Ability to meet or exceed Performance Competencies
WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental:� Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
Physical:� Computer keyboarding
Auditory/Visual:� Hearing, vision and talking
NOTE:� Credit security clearance, confirmed via a background credit check, is required for this position.
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description.� They are not intended to constitute a comprehensive list of functions, duties, or local variances.�� Management retains the discretion to add or to change the duties of the position at any time.
Sedgwick CMS is an Equal Opportunity Employer
and a
Drug-Free Workplace
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