Talent.com
serp_jobs.error_messages.no_longer_accepting
Lost Time Claims Specialist, Workers' Compensation (Columbus)

Lost Time Claims Specialist, Workers' Compensation (Columbus)

Encova InsuranceColumbus, OH, US
job_description.job_card.variable_hours_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.part_time
job_description.job_card.job_description

The salary range for this job posting is $55,132.00 - $110,642.00 annually + bonus + benefits. Pay Type : Salary

The above represents the full salary range for this job requisition. Ultimately, in determining your pay and job title, we'll consider your location, education, experience, and other job-related factors, and will fall within the stated range. Your recruiter can share more information about the specific salary range during the hiring process.

While we may prefer candidates who can work a hybrid schedule in our Charleston, WV office, we will consider candidates who live in any of our listed payroll approved states.

Lost Time Workers' Compensation claims handling experience in Virginia, West Virginia, Kentucky, or Pennsylvania is preferred.

The position reports to the Director, Workers' Compensation Claims on the Energy team. We may hire a senior level depending on the candidate's background and experience and the salary range is inclusive of all levels.

Are you a Referral?

If you know a current Encova Insurance associate and would like to apply as a referral, please encourage them to submit your referral information before you submit your application. You will receive an email with a direct URL link to the Job Posting of interest. Applying through this URL link will create your referral relationship for our Talent Acquisition Team.

Unique residence requirements are listed in each job posting, please review closely for details.

Encova is only able to employ associates who reside and work within specific U.S. states. Our current policies are based on the laws in states in which we are registered for payroll. Our current footprint includes :

Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nebraska, New Hampshire, New Jersey, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, West Virginia, Wisconsin.

JOB OBJECTIVE :

The Lost Time Claims Specialist, Workers' Compensation primarily manages indemnity claims. The Lost Time Claims Specialist is responsible for the investigation, evaluation, and determination of compensability for work-related injury and disease claims following established guidelines to determine benefit eligibility. The Lost Time Claims Specialist also serves as a resource to Medical Only Claims Specialists and Claims Specialist Trainees. The position's objective is to provide superior service in a cost-effective manner to achieve best possible outcomes as well as proactively collaborate across the enterprise to ensure alignment of objectives and foster continuous improvement.

ESSENTIAL FUNCTIONS :

1. Evaluates and establishes an action plan to manage medical and indemnity benefits associated with injury and occupational disease claims to their most cost- effective conclusion.

2. Decides the outcome of the claim using sound judgment by applying established policy, procedures, regulations and guidelines.

3. Gathers facts by conducting interviews with all involved parties and considers all the elements of the claim prior to issuing a decision.

4. Take recorded statements when necessary.

5. Determines eligibility of indemnity and medical benefits once salary information and medical treatment plans have been secured and processed within the designated authority levels.

6. Utilize proactive reserving behaviors to ensure adequate case reserves which reflect the probable ultimate outcome based on the current known circumstances throughout the life of the claim.

7. Actively identifies and develops the investigation of and pursuit of subrogation recoveries when possible.

8. Consults with assigned claim director, return to work specialists, nurse case managers, internal / external medical, and legal on current and / or recommended treatment, litigation or rehabilitation plans to ensure claims outcomes are achievable and appropriate.

9. Works collaboratively with the injured worker, employer, outside counsel, and health and rehabilitation professionals to manage the claims costs and promote quality medical care.

10. Works collaboratively with the injured worker, employer, assigned return to work specialist, and medical providers to facilitate the injured worker's safe and timely return to work.

11. Manages claims litigation, including expenses, by collaborating and providing direction to panel counsel throughout the life of the claim.

12. Analyzes reports from external resources such as physicians, attorneys, and / or vocational rehabilitation experts to evaluate and adjust claim strategies as needed.

13. Evaluates and negotiates claim settlements utilizing human relation skills and technical knowledge to achieve the best possible outcome.

14. Presents and summarizes claim details at internal team staffing, participates in discussions, and provides guidance as needed.

15. Consults with assigned claim director if the loss becomes significantly complex or presents significantly increasing financial exposure.

16. Follows established claims best practices related to medical management, litigation, fraud / abuse and recovery.

17. Effectively and independently uses available resources to prioritize, organize, and complete work in a timely manner to meet jurisdictional requirements, timeframes, and internal metrics.

18. Develops presentations for special projects such as internal / external meetings and conferences as needed.

19. Along with the claim director, regional vice president and other claims staff, participates in claim reviews, onboardings, etc. for our policyholders and agents.

20. Proactively collaborate with our policyholders to ensure alignment of objectives and foster continuous improvement.

OTHER FUNCTIONS :

1. Nonessential function : other duties as assigned.

KNOWLEDGE, SKILLS AND ABILITIES :

  • Bachelor's Degree from an accredited college or university is preferred.
  • Three years of experience in the field of workers' compensation insurance required.
  • Ability to manage claims through the litigation process.
  • Internal candidates must demonstrate knowledge of Encova Best Practices guidelines and meet quality standards.
  • One valid workers' compensation adjuster license is strongly preferred. Must be eligible to obtain additional licenses as required.
  • Must pass the claims adjuster license exam(s) as assigned within 90 days of being hired.
  • Preference may be shown to candidates with multiple state claims management experience.
  • Experience in workers' compensation claims practices and laws, court procedures, precedents and state statutes.
  • Ability to use logic and sound reasoning to identify alternative solutions for problem-solving.
  • Strong written and verbal communication skills.
  • Strong analytical skills.
  • Ability to multitasks and manage time effectively and productively.
  • Work effectively independently as well as in a team environment.
  • Develop and maintain strong, effective internal and external relationships.
  • Work effectively in a paperless environment.
  • Skilled in the use of laptops, claims management systems, and other typical business-related programs such as Microsoft Office suite.

This position has been evaluated in accordance with the Americans with Disabilities Act. Encova Insurance makes every effort to reasonably accommodate disabilities to permit performance of the essential functions and candidates who need such accommodation are encouraged to seek it. This description reflects the nature and level of work performed by associates in this position. It is not an all-inclusive inventory of duties, responsibilities and qualifications required. It provides an accurate overview of the work and skills needed to perform this position. Because job content may change from time to time, Encova Insurance reserves the right to add and / or delete functions from this job as it deems necessary for business reasons.

Ready to join our team?

At Encova Insurance, we firmly believe that our associates drive our company's success by delivering unrivaled service to our customers. With success in mind, we make an ongoing effort to provide an environment that offers challenging, stimulating and financially rewarding opportunities.

Join us to discover a work experience where your diverse ideas will be met with enthusiasm - where you can learn and grow to your fullest potential.

What you can expect from us

Join our family of industry leaders, and let us reward you with a competitive salary, bonus and benefits package that includes but is not limited to : a 401(k), wellness programs, bonus incentive plans and flexible schedules, with an early close of the office every Friday. Additionally, Encova aspires to be an outstanding corporate citizen in all the markets we serve; we encourage and support associate participation in community initiatives through our foundations.

Encova Insurance is an EOE / E-Verify employer.

#LI-Hybrid#LI-MF1

serp_jobs.job_alerts.create_a_job

Compensation Specialist • Columbus, OH, US

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Loss Prevention Specialist

Loss Prevention Specialist

TJXAshville, OH, US
serp_jobs.job_card.full_time
Job Opportunity At TJX Companies.At TJX Companies, every day brings new opportunities for growth, exploration, and achievement. You'll be part of our vibrant team that embraces diversity, fosters co...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Bodily Injury Claims Specialist

Bodily Injury Claims Specialist

Auto-Owners InsuranceColumbus, OH, US
serp_jobs.job_card.full_time
Job Opportunity At Auto-Owners.A career at Auto-Owners is challenging and rewarding.Our group of caring associates create financial security by helping individuals and businesses make a new start w...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Tax Associate

Tax Associate

IntuitNew Albany, OH, United States
serp_jobs.job_card.full_time
Intuit is seeking highly motivated individuals to join our dynamic team as dedicated TurboTax Live Seasonal Local Service Associates in one of our new TurboTax locations across the United States on...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Full-Time Loss Prevention Service Specialist

Full-Time Loss Prevention Service Specialist

Kohl'sHilliard, OH, US
serp_jobs.job_card.full_time
As Loss Prevention Service Specialist, you will engage customers, promote customer service, and provide deterrence to theft. You will be highly visible, spend most of your time at the store entrance...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Seasonal Tax Associate - Local

Seasonal Tax Associate - Local

IntuitNew Albany, OH, United States
serp_jobs.job_card.full_time
Intuit is seeking highly motivated individuals to join our dynamic team as dedicated TurboTax Live Seasonal Local Service Associates in one of our new TurboTax locations across the United States on...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Travel Nurse RN - Emergency Room (ER) / Trauma - $1,765 to $1,956 per week in Washington Court House, OH

Travel Nurse RN - Emergency Room (ER) / Trauma - $1,765 to $1,956 per week in Washington Court House, OH

TravelNurseSourceWashington Court House, OH, US
serp_jobs.job_card.full_time
TravelNurseSource is working with LRS Healthcare to find a qualified ER / Trauma RN in Washington Court House, Ohio, 43160!. Ready to start your next travel adventure? LRS Healthcare offers a full ben...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Local CDL-A Drivers - Home Daily - Earn Up to $100k / Yr + $7.5k Sign-On

Local CDL-A Drivers - Home Daily - Earn Up to $100k / Yr + $7.5k Sign-On

SyscoCroton, OH, United States
serp_jobs.job_card.full_time
Sysco is Now Hiring Local CDL-A Drivers in Columbus, OH!.Home Daily - Earn Up to $100,000 / Year • - Up to $7,500 Sign-On Bonus •. Comprehensive Benefits Available.We offer our colleagues the opportunit...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Mental Health Therapist - Outpatient - (LISW, LPCC, IMFT)

Mental Health Therapist - Outpatient - (LISW, LPCC, IMFT)

LifeStance HealthMount Liberty, OH, US
serp_jobs.job_card.full_time
At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Tax Associate - Local

Tax Associate - Local

IntuitPlain City, OH, United States
serp_jobs.job_card.full_time
Intuit is seeking highly motivated individuals to join our dynamic team as dedicated TurboTax Live Seasonal Local Service Associates in one of our new TurboTax locations across the United States on...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Claims Coverage & Practices Counsel - Hybrid or Remote Opportunity

Claims Coverage & Practices Counsel - Hybrid or Remote Opportunity

The Mutual GroupBlacklick, OH, US
serp_jobs.filters.remote
serp_jobs.job_card.full_time
The Insurance Claims Coverage & Practices Counsel provides strategic legal guidance to Claims leaders and adjusters on coverage decisions, regulatory compliance, and organizational risk.This ro...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Tax Preparer - 2+ Yrs Paid Tax Experience Required

Tax Preparer - 2+ Yrs Paid Tax Experience Required

IntuitPlain City, OH, United States
serp_jobs.job_card.full_time
Intuit is seeking highly motivated individuals to join our dynamic team as dedicated TurboTax Live Seasonal Local Service Associates in one of our new TurboTax locations across the United States on...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Lost Time Claims Specialist, Workers' Compensation

Lost Time Claims Specialist, Workers' Compensation

Encova InsuranceColumbus, Ohio, United States
serp_jobs.job_card.full_time
The salary range for this job posting is $55,132.The above represents the full salary range for this job requisition.Ultimately, in determining your pay and job title, we'll consider your location,...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Travel Physical Therapist (PT) - $1,946 per week in Marysville, OH

Travel Physical Therapist (PT) - $1,946 per week in Marysville, OH

AlliedTravelCareersMarysville, OH, US
serp_jobs.job_card.full_time
AlliedTravelCareers is working with Triage Staffing LLC to find a qualified Physical Therapist (PT) in Marysville, Ohio, 43040!. Travel Rehab : Physical Therapy Marysville.Shift Details : 8H Days (1...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Tax Associate - Onsite

Tax Associate - Onsite

IntuitOrient, OH, United States
serp_jobs.job_card.full_time
Intuit is seeking highly motivated individuals to join our dynamic team as dedicated TurboTax Live Seasonal Local Service Associates in one of our new TurboTax locations across the United States on...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Travel Physical Therapist (PT) - $1,746 to $1,816 per week in Lancaster, OH

Travel Physical Therapist (PT) - $1,746 to $1,816 per week in Lancaster, OH

AlliedTravelCareersLANCASTER, OH, US
serp_jobs.job_card.full_time
AlliedTravelCareers is working with AMN Healthcare Allied to find a qualified Physical Therapist (PT) in LANCASTER, Ohio, 43130!. Job Description & Requirements.Physical Therapist - Outpatient -...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Liability Claims Supervisor

Liability Claims Supervisor

Munich REColumbus, OH, United States
serp_jobs.job_card.full_time
Amelia, United States; Akron, United States; Atlanta, United States; Cedar Rapids, United States; Chicago, United States. Columbus, United States; Dallas, United States; Indianapolis, United States...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_hour
  • serp_jobs.job_card.promoted
Midwest Logistics Systems Dedicated truck driver

Midwest Logistics Systems Dedicated truck driver

Midwest Logistic SystemsLancaster, OH, US
serp_jobs.job_card.full_time
Midwest Logistics Systems Dedicated truck driver.Have a predictable daily home time work schedule.Drive the same out-and-back dedicated route and work with the same customers every day.Haul automot...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Purchasing Senior Specialist

Purchasing Senior Specialist

Honda Dev. and Mfg. of Am.,LLCRaymond, OH, US
serp_jobs.job_card.full_time
What Makes a Honda, is Who makes a Honda.Honda has a clear vision for the future, and it’s a joyful one.We are looking for individuals with the skills, courage, persistence, and dreams that w...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Columbus - WC Claims Specialist PN - 20069252

Columbus - WC Claims Specialist PN - 20069252

Ohio JobsColumbus, OH, US
serp_jobs.job_card.full_time +2
Columbus - WC Claims Specialist PN.Organization : Workers' Compensation.Agency Contact Name and Information : Matthew Palte- HCM Sr. Work Location : William Green Building, 30 West Spring Street, Colum...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Seasonal Tax Expert - Local

Seasonal Tax Expert - Local

IntuitOrient, OH, United States
serp_jobs.job_card.full_time
Intuit is seeking highly motivated individuals to join our dynamic team as dedicated TurboTax Live Seasonal Local Service Experts in one of our new TurboTax locations across the United States on a ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30