Usis Work Values

Daily Duties at Usis:

Handle 125-170 claims. Worked files off a diary system. Diary must be current. Make contact with employer to see if injured worker(every 2 weeks) to find out if injured worker had return to work or not. If not made payments to injured worker on time to avoid P and I and late fee. When a notice of injury filed made contact with employer, injured worker and medical provider with in 24 hours. Take recorded statements if needed. If claim is lost time notice had to be sent to the state timely to avoid a late notice fee. Investigate claim to see is it is compensable. File state forms timely(EDI). Also required to make payments to providers with 30 days of receipt.Set up medical appointments such as one time changes, IME's. Also required to respond to all legal mail received. Respond to Petition for Benefits, Request to Produce, One time change in doctors. Requested Medicare offsets. Attended mediations, depo's and trials. Made sure that defense counsel had everything needed to defend claim. Return all phone calls within 24 hours. Reported claims to excess carrier and answered all their concerns. Report claims to the subro unit. Referred claims for surveilance and reported any fraud to the Divison of Fraud Unit. Review file on every diary date to make sure file has been reserved properly. Reserved file for PTD/PTS exposure. Handle all request made by SDF to make sure refund to carrier is proper and due. Respond to emails in a timely manner. Worked of a paperless system.Knowledge of policy documents for coverage verification. Provide account servicing support on claim issues to policyholders.Investigate, determine compensability, and manage time loss claims consistent with jurisdictional requirements. When necessary, assign investigators, attorneys, medical consultants and others to facilitate claim determinations and plan of action. Follow up with claimants, policyholders and medical providers to monitor progress. Answer questions regarding the status of pending claims from claimants, policyholders and medical providers.Consult with attorneys regarding litigation management, settlement strategy and claim resolution. Assist clerical staff in completion of workers' compensation forms in conformance with jurisdictional requirements. Maintain electronic and paper files necessary for documentation of the claim file to include coding, contacts, financial data and plan of action. Review reserves for appropriateness and file timely reports on all serious loss claims as required by policy and regulatory standards. Participate in department training. Provide direction and supervision to assigned clerical staff.Perform other duties as assigned

What they like about Usis:

A hiring company that offers alternative approaches to pay, performance bonuses, and/or equity in the firm is very attractive to you. You're generally less interested in working for an organization offering only traditional, salary-based compensation, one with limited opportunity to acquire equity in the firm, or one that does not actively promote skill development. In addition, you are more likely to choose a company that offers a variety of internal career options, with defined career paths. You view the learning of new skills and development of your expertise as key to your career advancement. These aspects of an organization may become even more important to you as you progress in your field, and are especially critical if you change career or occupation.

Tags

Lost Time Claims, Litigation, EDI, Micorsoft, Catastrophic, Claims Adjuster, Insurance, Workers Compensation

Skills

Presentation, Ecommerce Strategy and digital marketing channels optimization - SEO, SEM, email, affiliates - for high-profile accounts., Technology Solutions, Requirements Analysis & Specification, Leadership

These are some of the questions we asked our climbers about their experiences with Usis: