Matrix Absence Management
  • 21-Jul-2017 to 21-Aug-2017 (MST)
  • Workers Compensation
  • Portland, OR, USA
  • DOE
  • Salary
  • Full Time

Full Benefit Package- Medical, 401K, PTO


Matrix Absence Management is one of the top Third Party Administrators (TPA) supporting clients in absence management (FMLA/Disability/Workers' Compensation). We partner with our clients Human Resources department to manage Workers' Compensation, Disability and/or Leave of absences until the claim is resolved or the employee returns to work.  Our highly customer centric approach is to try and duplicate the culture of our clients to make the experience seamless for employees.  Our mobile app technology provides ease of use to our client and employee in reporting claim information.

Matrix Absence Management offers a full benefit package- Medical, Dental & Vision, including 401K match. Matrix is a friendly and pleasant office environment; offering flexible schedules M-F.

 

Position Summary: 

Supervise and monitor the accuracy, timeliness and quality of Claims Work in assigned unit. Develop and maintain a positive and productive working relationship with our clients.


Duties and Responsibilities:

  • Supervises a claims team of 5-7 Examiners and supporting staff.
  • Work with Management to achieve company initiatives and performance goals
  • Work with clients with issues regarding policies, programs and/or claims
  • Coordinate and perform training for new and existing staff
  • Interview, hire and train employees
  • Provide general guidance to staff
  • Review performance of staff
  • Resolve personnel/workflow problems
  • Lead staff unit meetings
  • Attend client meetings, in-house meetings and workers' compensation meetings
  • Authorize release of payment and settlement
  • Make daily claims decisions regarding plan of action, handling of payment, etc.
  • Review claim files for accuracy
  • Run reports
  • Approve payments and reserve increases when they rise above Examiner's authority level
  • Work collaboratively with clients.
  • Provide information to clients, attorneys, doctors, investigators and injured workers


Duties and Responsibilities Continued:

  • Work collaboratively with attorneys to draft settlements and assist with litigation strategies
  • Discuss appropriateness of medical treatment with medical case manager
  • Assures consistent and accurate claims coding is occurring throughout the organization.
  • Provide direct supervision to Sr. Claims Examiners, Claims Examiners, Medical Only Examiners and Claims Assistants.
  • Working knowledge of interaction/integration of workers' compensation and other non-occupational lines of business administration.
  • All other duties as assigned.

 

Other Duties 

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee of this job.  Duties, responsibilities and activities may change at any time with or without notice.

 

Education, Qualifications and Experience:

  • Bachelors Degree Required - from an accredited college or university preferred
  • 5 years Sr. Claims Administration experience
  • Requisite license(s) and/or Administrators Certificate
  • Completion of IEA, ARM or equivalent courses desired
  • Solid knowledge of workers' compensation laws, policies and procedures
  • Proficiency in determining case value and negotiating settlements
  • Understanding of medical and legal terminology
  • Highly developed verbal, interpersonal and written communication skills
  • Skilled at presenting in small and large group settings
  • Effectively influence people to achieve unit and organizational objectives
  • Skilled at developing and maintaining effective relationships with others (co-workers, customers, vendors, management and other key stakeholders) to achieve organizational goals
  • Negotiating skills
  • Mathematical calculating skills
  • Exercise independent judgment and analytic ability in solving complex and sensitive problems
  • Computer processing skills, including the ability to leverage technology for self and staff to improve efficiency
  • Able to operate standard office equipment
  • Ability to work in a paperless environment
  • Prior Third Party Administrator (TPA) experience preferred
  • Working knowledge or related information systems, including: Microsoft Office

 

AAP/EEO Statement 

Matrix Absence Management is an equal opportunity employer applicants are considered for positions without discrimination on the basis of race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, veteran status or any other consideration made unlawful by applicable, federal state or local laws.

Matrix Absence Management
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