Workers' Compensation Case Manager

🕒 il y a 5 jours

🐊 Florida – Distant

🐊 Florida – Remote

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👔 Manager

🦅 Parrain de Visa H1B

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Acrisure

Site WebLinkedInTous les Emplois

10 000+ employés

Fondée en 2013

💸 Finance

Finance • Insurance

Acrisure est une entreprise qui propose une large gamme de solutions d'assurance, de gestion des risques et de services financiers. Elle offre des assurances personnelles, des prêts hypothécaires, des assurances professionnelles et des services d'avantages sociaux aux employés, ainsi que des ressources de cybersécurité et de gestion informatique. Acrisure est reconnue pour étendre ses capacités de réassurance à l'international et a remporté des distinctions telles que le prix de "Courtier de l'année". L'entreprise est également impliquée dans des actions communautaires et des partenariats, notamment avec les Pittsburgh Steelers. Acrisure s'engage à fournir des solutions innovantes et à maintenir un leadership fort dans l'industrie.

Description

• Manage telephonic case management for workers’ compensation claims, including assessment, care coordination, and ongoing case oversight • Collaborate with injured workers, healthcare providers, employers, claims representatives, and legal partners to support treatment plans and recovery outcomes • Evaluate treatment plans and provide guidance based on clinical knowledge and case management best practices • Facilitate return to work planning and monitor progress toward recovery goals • Maintain frequent telephonic and written communication with all involved parties throughout the life of the claim • Advocate for appropriate and cost effective care while supporting positive health outcomes • Maintain accurate, timely, and compliant documentation of all case activity • Identify barriers to recovery and implement strategies to improve outcomes • Ensure compliance with regulatory requirements, company standards, and HIPAA guidelines • Manage assigned caseload independently, prioritizing work and adjusting plans as needed

🎯 Exigences

• Strong understanding of workers’ compensation processes, case management practices, and return to work coordination • Ability to manage a high volume caseload in a structured, metrics driven environment • Strong communication skills with the ability to navigate complex and sensitive conversations • Proficiency with Microsoft Office and ability to work effectively in a remote setting using multiple systems and screens • Demonstrated ability to work independently while maintaining productivity and quality standards • Strong organizational skills and ability to manage competing priorities • Positive, adaptable mindset with the ability to work effectively in a fast paced environment • Bilingual (Spanish speaking) skills are highly beneficial • Active Registered Nurse (RN) license required • One of the following required: CCM, CDMS, COHN, or CRRN • Associate or bachelor’s degree in nursing or a related clinical field • Compact RN license beneficial • Additional state licenses, including CA, NY, MA, IL, OR, NV, MI, HI, MD, or DC, would be useful

🏖️ Avantages

• Comprehensive medical insurance, dental insurance, and vision insurance • Life and disability insurance • Fertility benefits • Wellness resources • Paid sick time • Generous paid time off and holidays • Employee Assistance Program (EAP) • Complimentary Calm app subscription • Immediate vesting in a 401(k) plan • Health Savings Account (HSA) and Flexible Spending Account (FSA) options • Commuter benefits • Employee discount programs • Paid maternity leave and paid paternity leave (including for adoptive parents) • Legal plan options • Pet insurance coverage