Top 36 Workers compensation Jobs in Johnstown Pa

Claims Consultant
Tata Consultancy Services —Johnstown, PA
- $48,000 - $55,000 a year
- Mid-level
- Office
- Analysis skills
- Commuter assistance
- Health insurance
10d
Service Advisor
#1 COCHRAN JOHNSTOWN HONDA —Johnstown, PA
- Full-time
- Dealership
- Team management
- Communication skills
- Paid parental leave
- Paid holidays
HR/Payroll Coordinator
Maple Heights Health & Rehab Center —Ebensburg, PA
- $17 - $18 an hour
- Full-time
- Skilled nursing facility
- Mid-level
- High school diploma or GED
- Health savings account
- Health insurance
Quick Apply
Loretto, PA - Field Inspector - Insurance Loss Control
H & S Loss Control Inspections —Loretto, PA
- $60 - $75 an hour
- Online Application
- Up to 50% travel
- Customer service
- Writing skills
Quick Apply
Direct Care Worker(DCW) PA
Merry Health Care —Seward, PA
- $15 - $16 an hour
- Current TB test
- Criminal background check
- Pre-employment physical examination
Quick Apply
Claysburg, PA - Field Inspector - Insurance Loss Control
H & S Loss Control Inspections —Claysburg, PA
- $60 - $75 an hour
- Online Application
- Up to 50% travel
- Customer service
- Writing skills
Quick Apply
Safety & Environmental Director (Dual Location)
Franklin Industries —Indiana, PA
- $80,000 - $85,000 a year
- Full-time
- CPR Certification
- Microsoft Excel
- Office
Quick Apply
Carrolltown Borough Manager/Secretary/Treasurer - Cambria County
Portage Borough —Carrolltown, PA
- $40,000 - $45,000 a year
- Part-time
- Office
- Master's degree
- Project management
- Health insurance
- Dental insurance
Quick Apply
Clinical Nurse
Tuba City Regional Health Care Corp —United States
- $32 - $50 an hour
- Full-time
- Nursing
- RN License
- Bachelor of Science
- Paid holidays
- Relocation assistance
Quick Apply
Travel IMC RN Job in Birmingham, Alabama
GIFTED Healthcare —United States
- $2,122.06 - $2,242.62 a week
- Overtime
- Nursing
- Medication administration
- RN License
- Health insurance
- Dental insurance
Quick Apply

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Payroll Administrator
Ignite Industrial Professionals —Grove City, OH
Partner with third-party administrator on all federal and state compliance reports including new hire, EEO, W-2, and quarterly tax filing for temporary…
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On-site Coordinator- Mid Shift
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6d

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workers compensation jobs near johnstown pa

Claims Consultant

Tata Consultancy Services -
Johnstown, PA

Apply Now

Job Details

$48,000 - $55,000 a year
10 days ago

Benefits

Commuter assistance
Health insurance
Dental insurance
Vision insurance
Pet insurance

Qualifications

Spreadsheets
Presentations for conferences or internal meetings
Incident Escalation
Disability benefits programs
Desktop applications
Medical management
Typing
Productivity software
Disability benefits management
Escalation handling
Medical terminology
Disability insurance management

Full Job Description

Responsibilities:

To provide Absence case management and claim adjudications, based on medical documentation and the applicable Disability/FMLA/Paid Family Leave interpretation, including determining benefits due and making timely payments and adjustments.

Review and analyze the claim nuances, eligibility review, and type of claims (intermittent or continuous)

Review and analyze medical information (i.e. attending physician reports, medical records such as diagnostic tests, office notes, operative reports, etc.) to determine if the claimant is disabled as defined.

Approval or denial on FMLA claims as per Insurance carrier, and employer’s guidelines

Analyzes, approves and authorizes assigned claims and determines benefits due pursuant to US paid family law regulations.

Review claims for Not in good order cases, and work on securing missing documentations including employee, physician, or employer outreach.

Communicates clearly with the claimants and clients to set expectations on all aspects of claims process either by phone and/or written correspondence.

Reviews client critical deliverables, manages the overall workload, and second-level process escalation.

Determines benefits due, makes timely claims payments/approvals and adjustments for Workers Compensation, State Short Term Disability, and other disability offsets.

Refers cases as appropriate to team lead and clinical case management

Responsible for managing the day-to-day workload and first-level process escalation, and reviews processes for accuracy and timeliness where applicable in case of peer reviews.

Provide ideas to management on continuous improvement and service level management

Performs other duties or participates in special projects as assigned

Requirements:

1+ year of Disability/FMLA/PFL claims or insurance claims experience

Experience working with FINEOS

Working knowledge of medical terminology and documents, including APS, Diagnostic Tests, Imaging Tests reports

Knowledge of disability insurance claims, benefits administration, offsets and deductions, disability duration and medical management practices mandatory

Excellent oral and written communication, including presentation skills

Strong Analytical, decision making, problem solving, and people management skills

Computer experience with keyboarding skills and proficiency in using software applications and packages including MS Office (Excel, Word, PPT)

Willingness to embrace change in a fast paced work environment

A strong desire to continuously learn and improve

Identify escalated cases and work with Team Leader to develop a plan to address key issues.

TCS Employee Benefits Summary:

Discretionary Annual Incentive.

Comprehensive Medical Coverage: Medical & Health, Dental & Vision, Disability Planning & Insurance, Pet Insurance Plans.

Family Support: Maternal & Parental Leaves.

Insurance Options: Auto & Home Insurance, Identity Theft Protection.

Convenience & Professional Growth: Commuter Benefits & Certification & Training Reimbursement.

Time Off: Vacation, Time Off, Sick Leave & Holidays.

Legal & Financial Assistance: Legal Assistance, 401K Plan, Performance Bonus, College Fund, Student Loan Refinancing.

Salary Ran ge: $48,000 - $55,000 per year

Location

Johnstown, PA

Job Function

BUSINESS PROCESS SERVICES

Role

Workflow Specialist

Job Id

419057

Desired Skills

BPO – Dialer Ops

Salary Range

$48,000-$55,000 a year

Desired Candidate Profile

Qualifications : ASSOCIATESHIP

Apply Now

Refine Your Search

workers compensation jobs in johnstown pa

Claims Consultant

Service Advisor

HR/Payroll Coordinator

Loretto, PA - Field Inspector - Insurance Loss Control

Direct Care Worker(DCW) PA

Claysburg, PA - Field Inspector - Insurance Loss Control

Safety & Environmental Director (Dual Location)

Carrolltown Borough Manager/Secretary/Treasurer - Cambria County

Clinical Nurse

Travel IMC RN Job in Birmingham, Alabama

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