Job Description

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Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We\'re proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.

Facility: GSS National Campus

Location: Sioux Falls, SD

Address: 4800 W 57th St, Sioux Falls, SD 57108, USA

Shift: 8 Hours - Day Shifts

Job Schedule: Full time

Weekly Hours: 40. 00

Job Summary

Serve as a support to Injury Management by completing administrative tasks and coordinating activities such as answering telephones, taking messages, monitoring the enterprise email inbox, and answering routine claims questions. In addition, organize routine correspondence from the adjuster and outside legal counsel and provide needed claims information, submit monthly billing, and generate monthly reports. May maintain master copies of company policy and departmental procedure manuals, keeping them up-to-date. Obtain initial claims information to set up and process a Workers Compensation claim in a timely manner. Manage all correspondence. Document all claim interaction in departmental database software per expected workflow. Must possess strong verbal and written skills geared toward communicating by phone, in writing, and in person. Must project a positive and professional image. Must be able to interact compassionately with employees, departments, and adjuster on a one-on-one basis and anticipate their needs through careful listening and patience. Must be highly organized and able to handle multiple tasks under constant pressure. Must be able to use Microsoft Office. Must possess awareness of when and how to access additional resources to meet needs of employees, departments and adjuster.

Responsible to triage inbound and outbound calls, process injuries and claims, complete data entry, and assign claims to appropriate team members. Support department programs and operations. Process premium billing statements. Assist in generating and submitting annual OSHA logs and BLS data. Work with Patient Financial Services to correct billing concerns. Review corporate Work Comp Cost Center to ensure accuracy. Generate monthly/quarterly injury data reports for regions to present at Safety Council. Submit bi-weekly payroll reports for accurate claimant reimbursement. Obtain and disseminate HR information to adjuster and outside counsel. Obtain and track current work status regarding transitional duty and coordinating Return-to-Work per our policy. Complete First Report of Injury and submit to third party administrator. Assist with updating internal protocols and enterprise policies.

Travel is a requirement for this position. Travel may be required for meetings with team members, third party administrators, or brokers, claim reviews, trainings, and other commitments.

Qualifications

Associate degree required. Bachelor s degree preferred.

Three years in claims processing or similar environment required.

Benefits

Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https://sanfordcareers.com/benefits .

Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org .

Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.

Req Number: R-0142589

Job Function: Legal and Compliance

Featured: No