Claims Examiner-Lost Time at ICONMA, LLC

• Handles all aspects of workers’ compensation lost time claims from set-up to case closure ensuring strong customer relations are maintained throughout the process.
• Prepares reports on investigation, settlements, denials of claims and evaluations of involved parties, etc.
• Works with in-house Technical Assistants, Special Investigators, Nurse.
• Files workers’ compensation forms and electronic data with states to ensure compliance with statutory regulations.
• Controls and directs vendors, nurse case managers, telephonic cases managers and rehabilitation managers on medical management and return to work initiatives.

Requirements:

• Lost Time Claim Examiner position with prior experience in workers’ compensation as a medical only examiner, or commensurate examiner experience in paralegal, short-term / long-term disability, auto personal injury protection / medical injury, general liability or as a claim technical assistant for lost time claims.
• Willing to take ownership and tackle obstacles to meet Client quality standards for service, investigation, reserving, inventory management, teamwork, and diversity appreciation.
• Requires knowledge of workers’ compensation statutes, regulations, and compliance.
• Ability to prepare and make exceptional presentations to internal and external customers.
• Knowledge of medical terminology.
• Experience working in a customer focused, fast-paced, fluid environment.
• AIC, RMA, or CPCU completed coursework or designation(s) is a plus but not required.

As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

Danny Vineeth

Phone: (408) 456-0839