Workers Compensation Claims Specialist - Remote ApplyRefer a FriendBack Job Details Requisition #: 195090 Location: Atlanta, GA 30339 Category: OT Salary: $45,000.00 - $55,000.00 per year Position Details This is a remote position. Position Overview The Workers Compensation Claims Specialist is responsible for the being the liaison between the Aveanna Field Staff and the third party administrator. This role will require investigation of claims and insurance that our third party administrator is managing the claims in an effect manner. This position will resolve claims according to Best Practices and within authority limits by following established protocols to ensure that claims are handled in the most efficient, effective way while delivering excellent customer claims service. Essential Job Functions Investigating, reviewing, evaluating, and administering workers' compensation claims Reviewing medical reports Setting reserves Filing documentation Reviewing and approving medical bills for payment Reviewing accident and injury reports Interviewing and correspond with claimants, witnesses, attorneys, and physicians Approving claims or recommending denial Representing Aveanna at various workers' compensation and industrial leave claims actions and hearings Perform other duties as assigned Requirements High School Diploma and 5 years or more experience in Claims and Litigation OR a Bachelor’s Degree and 4 years’ experience in Claims and Litigation Knowledge of claims handling and legal statutes and procedures Customer service experience Workers Comp experience in California, Texas, and Pennsylvania and non-subscriber claim experience highly preferred Other Skills/Abilities Attention to detail Time Management Effective problem-solving and conflict resolution Good organization and communication skills Physical Requirements Must be able to speak, write, read and understand English Occasional lifting, carrying, pushing and pulling of 25 pounds Prolonged sitting, walking, standing, bending, kneeling, reaching, twisting Must be able to sit and climb stairs Must have visual and hearing acuity Must have strong sense of smell and touch Environment Performs duties in an office environment during agency operating hours Must be able to function in a wide variety of environments which may involve exposure to allergens and other various conditions Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Vaccination Requirement As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. #LI-Remote Headhunters and recruitment agencies may not submit resumes/CVs through this website or directly to managers. Aveanna does not accept unsolicited headhunter and agency resumes, and will not pay fees to any third-party agency or company that does not have a signed agreement with Aveanna. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Notice for Job Applicants Residing in California (https://www.aveanna.com/CaliforniaPrivacyNotices.html) Apply