Workers' Compensation Claims Examiner

Claims Examiner Workers' Comp I

Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any hospital, government facility, or school. Through partnership and innovation, Amergis creates unmatched staffing experiences to deliver the best workforce solutions.

The Claims Examiner Workers' Comp I monitors claims and makes decisions on reserve adjustments, plans of action, and closure of non-litigated claims. Essential duties and responsibilities include : handling new Workers' Compensation claims to resolution, participating in conference calls with local offices, third-party administrators (TPAs), medical providers, and other Amergis employees to communicate status plans, monitoring TPA's file resolution plans, controlling all financial aspects of assigned claims files, including reserves per the TPA service agreement in consultation with the WC Manager, coordinating claims with Claims Examiner III or designee in the event of litigation, monitoring lost time and transitional duty opportunities, escalating reserve requests to Claims Examiner III or designee, coordinating with Benefits during employee's absence, coordinating with state programs and internal departments for transitional duty, educating branch offices about all aspects of Workers' Compensation, assisting Workers' Compensation Manager in achieving overall department goals, and performing other duties as assigned / necessary.

Minimum requirements include at least two (2) years of Workers' Compensation experience preferred, some legal or insurance claims experience strongly preferred, college degree preferred; work experience will be considered, good organizational skills and attention to detail, ability to work independently and cooperatively in a team environment, ability to effectively elicit / provide information to and from appropriate individuals via strong communication skills required; proficiency in the English language is required, proficiency with Microsoft Office applications, and prior experience performing internet research.

At Amergis Healthcare Staffing, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits : Medical / Prescription, Dental, Vision, Health Advocacy (company paid if enrolled Medical), Health Advocate Employee Assistance Program, Health Savings Account, 401(k), 401(k) Company Match, Profit Sharing, Short Term Disability, Long Term Disability, Primary Caregiver Leave, Parental Leave, Life and Basic Accidental Death and Dismemberment Insurance, Voluntary Life and Accidental Death and Dismemberment Insurance, Hospital Expense Protection Plan, Critical Illness Insurance, Accident Insurance, Dependent Care Flexible Spending Account, Home and Auto Insurance, Pet Insurance, Milk Stork, Transportation Benefit, Educational Assistance Program, College Partnership Program, Paid Time Off / Company Holidays. Benefit eligibility is dependent on employment status. Amergis Healthcare Staffing is an equal opportunity / affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law. This posting will remain active on job boards for 5 days from date of posting unless there is a good faith basis to extend the posting date. Pursuant to the San Francisco Fair Chance Initiative, Amergis will consider for employment qualified applicants with arrest and conviction records.