Managed 335 workers compensation claims including N.J., Delaware and Pennsylvania Jurisdictions.
Worked closely with legal counsel to bring litigated cases to closure via Orders Approving Settlement within the N.J. jurisdiction.
Issued permanent, partial and widow dependency benefit payments.
Managed the medical aspect of the claims through discussion with treating physicians. Verified relatedness of treatment to the compensable injuries and provided prior authorization for treatment where required.
Reviewed and verified relatedness of medical invoices through the billing system and approved medical bills as appropriate.
Requested routine activity checks through investigative resources and reviewed same. Requested surveillance where applicable and commensed litigation if compensation was questionable.
Assisted co-workers with training upon request.
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