Columbia, MD, US
1 day ago
Workers' Compensation Claims Examiner II
The Workers’ Compensation (WC) Claims Examiner II understands and participates in every aspect of the WC claim process. Working in a team approach, the WC Examiner II will make decisions concerning reserve adjustments, develop a plan of action, and determine the appropriate settlement value. The WC Claims Examiner II also works with the In-take Coordinators, the broker of record, the WC Manager and fellow Maxim co-workers at every level of the business.
Essential Duties and Responsibilities:Manages and resolves new, pending, and litigated workers compensation files Participates in and leads conference calls with local offices, third-party administrators (TPAs), medical providers, attorneys, and other Maxim team membersMonitors TPA’s file resolution plansEnsure legal deadlines are metRepresents Maxim in depositions, mediation, and conference calls regarding assigned claim filesProvides, reviews and comments on the financial aspects of assigned claims filesEducate branch offices about all aspects of Workers’ CompensationProvides excellent customer service to injured employeesGuides and advises Intake Coordinators and handles work overflow when necessary Prepares WC claim reports for review by department management teamReviews, identifies and make recommendations for maintaining control and/or reducing the claims experience (loss history) of the companyAssists Manager in achieving overall department goalsPerforms other duties as assigned/necessaryMinimum Requirements:College degree preferred; or equivalent work experienceFive to Seven years of Workers’ Compensation experience preferred Some legal experience strongly preferredGood organizational skills and attention to detailAbility to work independently and cooperatively in a team environmentAbility to communicate effectively and provide excellent customer service with individuals at all levels of the organizationComputer proficiency, including Microsoft Office applications, required Prior experience performing internet researchAbility to effectively elicit/provide information to and from appropriate individuals (including, but not limited to, supervisors, co-workers, clients) via strong communication skills; proficiency in the English language may be required Flexible work hours such that over time can be worked if neededWage/Salary Information:$50,000 - $70,000, with an annual bonus potential of $2,500 - $8,500 Maxim Benefits:
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Health and Wellness
\t\t\t\t\t\t\t\tMedical/Prescription, Dental, Vision, Health Advocacy (company paid if enrolled Medical) and Health Advocate Employee Assistance Program \t\t\t\t\t\t\t

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Retirement and Financial Security:
\t\t\t\t\t\t\t\tEmployee Assistance Program, Health Savings Account, 401(k) + Company Match, Profit Sharing, Short and Long Term Disability, Primary Caregiver Leave, Parental Leave, Life and Basic Accidental Death & Dismemberment Insurance, Voluntary Group Life Insurance and Supplemental Accidental Insurance, Hospital Expense Protection Plan, Critical Illness Insurance, Dependent Care Flexible Spending Account, Home and Auto Insurance discounts, Pet Insurance and Legal benefits \t\t\t\t\t\t\t

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Lifestyle Benefits:
\t\t\t\t\t\t\t\tPaid Time Off and Company Paid Holidays, Transportation Benefits, Educational Assistance Program, College Partnership Program and Employee Discount Program \t\t\t\t\t\t\t

\t\t\t\t\t\t\t*Benefit eligibility is dependent on employment status.
\t\t\t\tAbout Maxim Healthcare Services \t\t\t\tMaxim Healthcare Services has been making a difference in the lives of our patients, caregivers, employees and communities for more than 30 years. We offer private duty nursing, skilled nursing, physical rehabilitation, companion care, respite care and behavioral care for individuals with chronic and acute illnesses and disabilities. Our commitment to quality customer service, compassionate patient care, and filling critical healthcare needs makes us a trusted partner wherever care is needed. \t\t\t\t
\t\t\t\t \t\t\t\tMaxim Healthcare Services 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.
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