Workers Compensation Claims Specialist

Worker’s Compensation Claims Assistant

Under general direction, ensures timely processing of workers' compensation claims; evaluates accident reports to determine accuracy and completeness and to ensure adequate investigations are completed.

Duties/Responsibilities:

• Evaluates accident reports, ensuring the timely processing of medical bills and temporary total disability benefits; reviews medical reports, witness statements, department investigation results, and other documentation. Compiles facts and data regarding accident reports and filed cases.
• Reviews documentation to determine whether medical bills and temporary total disability benefits should be continued; authorizes payment of medical bills and temporary total disability benefits upon receipt of proper documentation. Advises and/or assists departments in conducting an investigation of accident reports, including interviewing of witnesses and procurement of relevant documentation.
• Reviews accident reports to identify patterns of injury and to determine whether unsafe conditions contributed to the accident; advises departments of trends in injuries and proper safety procedures that may result in a reduction of injuries; provides the department with information that will aid in reducing accidents and improve safety.
• Documents telephone conversations, witness statements, medical reports, accident investigation results, and payment of medical bills; prepares summaries of medical reports.

Required Skills/Abilities:

• Working knowledge of the Workers' Compensation Act and other applicable states/federal statutes and regulations.
• Working knowledge of medical terminology, body systems, and/or impairments and their disabling effects.
• Working knowledge of office procedures and files.
• Ability to obtain facts that ensure that claims information is complete and accurate.
• Ability to balance casework loads and efficiently process claims.
• Ability to evaluate all medical and time-loss claims information to make determinations regarding payment of temporary total disability benefits and medical bills.
• Good judgment in interpreting medical facts presented by a physician and applying these facts in determining an individual's capacity to engage in gainful occupation.
• Ability to read, assimilate and recall with marked proficiency facts, figures and descriptions, and to search for and obtain information.

HireQuest Inc. and its family of companies—MRI Network, HireQuest Direct, Snelling Staffing, and TradeCorp, help people across America find meaningful employment. As a franchisor with 200 branches nationwide, we provide temporary staffing to tens of thousands of individuals each year.

The skilled and general labor job opportunities we offer are primarily in construction, industrial, and manufacturing industries. We also fill openings for event staff, housekeeping and janitorial work, and secretarial and clerical positions.

Our motto is "the right people at the right time," and that's exactly what we guarantee our corporate customers. Because our local franchises maintain a broad and deep database of employees, our regional and national accounts teams can often fulfill work orders within 24 hours.

Best of all? We handle everything: background checks and drug testing, resume vetting and interviewing, payroll, worker’s compensation, and transportation to and from the jobsite. Hiring labor for the