Claims Rep - Workers Compensation job from Insurance Claims ...

Claims Representative
Workers Compensation

CLAIM YOUR FUTURE AS A GREAT PERFORMER!

Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick has a strong commitment to its colleagues and its clients. If you are seeking place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sedgwick is the place for you. As the largest and most innovative Third Party Administrator in the claims industry and the first and only TPA to receive both recognition as the Best TPA in America and the coveted Employer of Choice designation, we invite you to come be a part of our team and, ?Claim Your Future.?

PRIMARY PURPOSE : To analyze rmid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.

Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments.

Approves and processes assigned disability claims, determines benefits due, and manages action plan pursuant to the disability claim or client contract.

Manages subrogation of claims and negotiates settlements.

Communicates claim action with claimant and client.

Ensures claim files are properly documented and claims coding is correct.

Maintains professional client relationships.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

Performs other duties as assigned.

Supports the organization's quality program(s).

Travels as required.

QUALIFICATION

Education & Licensing
Baccalaureate degree from an accredited college or university preferred.

Experience
Three (3) years of claims management experience or successful completion of Claims Examiner II training required. Licenses as required.

Skills & Knowledge

• Knowledge of regulations, offsets and deductions, disability duration, medical management practices and Social Security and Medicare application procedure as applicable to line of business
• Excellent oral and written communication, including presentation skills
• PC literate, including Microsoft Office products
• Analytical and interpretive skills
• Strong organizational skills
• Good interpersonal skills
• Ability to work in a team environment
• Ability to meet or exceed Service Expectations

WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical: Computer keyboarding, travel as required

Auditory/Visual: Hearing, vision and talking

NOTE : Credit security clearance, confirmed via a background credit check, is required for this position.

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

Sedgwick is an Equal Opportunity Employer

and a

Drug-Free Workplace

Additional Information: N/A
Requisition #: 8248

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ME: French scholar's autopsy needs further study

AAA??Apr. 4, 2012?3:26 PM ET
ME: French scholar's autopsy needs further study
AP

FILE - in this March 15, 2001 file photo, Richard Descoings, director of the Institut d'etudes Politiques, or The Paris institute, stands outside the entrance of the school in Paris. Descoings has been found dead in a New York City hotel room, Tuesday afternoon, April 3, 2012. The Paris institute is better known in France as Sciences Po. It's considered a training ground for France's political, media and administrative elite. (AP Photo/Jacques Brinon, file)

FILE - in this March 15, 2001 file photo, Richard Descoings, director of the Institut d'etudes Politiques, or The Paris institute, stands outside the entrance of the school in Paris. Descoings has been found dead in a New York City hotel room, Tuesday afternoon, April 3, 2012. The Paris institute is better known in France as Sciences Po. It's considered a training ground for France's political, media and administrative elite. (AP Photo/Jacques Brinon, file)

The Michaelangelo Hotel is shown on Wednesday, April 4, 2012 in New York, where French scholar Richard Descoings, 53, was found dead in his hotel room. NYPD spokesman Paul Browne said Wednesday that Richard Descoings' seventh-floor Michelangelo hotel room wasn't broken into and the scholar's body didn't have obvious trauma. (AP Photo/Bebeto Matthews)

The Michaelangelo Hotel is shown on Wednesday, April 4, 2012 in New York, where French scholar Richard Descoings, 53, was found dead and naked in his hotel room. NYPD spokesman Paul Browne said Wednesday that Richard Descoings' seventh-floor Michelangelo hotel room wasn't broken into and the scholar's body didn't have obvious trauma. (AP Photo/Bebeto Matthews)

The Michaelangelo Hotel is shown on Wednesday, April 4, 2012 in New York, where French scholar Richard Descoings, 53, was found dead and naked in his hotel room. NYPD spokesman Paul Browne said Wednesday that Richard Descoings' seventh-floor Michelangelo hotel room wasn't broken into and the scholar's body didn't have obvious trauma. (AP Photo/Bebeto Matthews)

The Michaelangelo Hotel is shown on Wednesday, April 4, 2012 in New York, where French scholar Richard Descoings, 53, was found dead and naked in his hotel room. NYPD spokesman Paul Browne said Wednesday that Richard Descoings' seventh-floor Michelangelo hotel room wasn't broken into and the scholar's body didn't have obvious trauma. (AP Photo/Bebeto Matthews)

NEW YORK (AP) ? An initial autopsy for a prominent French scholar found dead in his hotel room requires further study.

The medical examiner's office said Wednesday that toxicology and other tests would be done on the body of Richard Descoings (day-KWAHNG') to determine a cause of death.

Descoings was found in his hotel room after he failed to show up for a Columbia University conference.

He served as the director of the Paris Institute of Political Studies, or Sciences Po, one of France's top colleges.

Police said there were no obvious signs of foul play.

Associated Press

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Lawmakers to eye federal money for health insurance exchange ...

By John Lyon
Arkansas News Bureau

LITTLE ROCK ? Legislative subcommittees this week will consider using federal funds to continue preparing for a federally mandated health insurance exchange in the state.

Resistance is likely from Republican legislators who oppose the federal Patient Protection and Affordable Care Act signed by President Obama in 2010, which mandates the creation of insurance exchanges in every state by 2014.

Today, the Review Subcommittee of the Legislative Council is scheduled to consider two proposed contracts with Boston-based Public Consulting Group, both of which would be funded entirely with federal grant money. One is a $298,000 contract for management planning and the other is a $278,850 contract to develop a program in which facilitators known as ?navigators? will help Arkansans use the exchange to obtain health insurance.

On Thursday, the Performance Evaluation and Expenditure Review, or PEER, Subcommittee is scheduled to consider a $7.7 million federal grant to fund various aspects of planning for the exchange.

State Sen. Bruce Holland, R-Greenwood, who serves on both subcommittees, said he is against spending anything to set up an exchange that may or may not be implemented, depending on the outcome of legal challenges to the federal health care overhaul.

?I am opposed to them trying to set up the exchanges when we don?t know what the verdict from the Supreme Court is going to be yet,? Holland said.

The U.S. Supreme Court heard oral arguments last week in challenges to the law but has not issued a ruling.

Holland acknowledged that the money in question would come from the federal government, not state coffers, but said that doesn?t matter.

?Why waste federal money or the state?s money?? he said.

State Insurance Commissioner Jay Bradford said that if the high court upholds the law, the federal government will create the exchange ? Arkansas declined to set up its own ? so the prudent thing to do is accept the federal money.

The $7.7 million grant would cover $2.4 million in technology costs that Arkansas will have to pay if it turns down the federal money, Bradford said.

?We can either receive the grant money that enables us to get ready to connect to the exchange or we can do it on Arkansas money,? he said.

Bradford also said passing on the grant could cause the state to miss deadlines for setting up Arkansas-based regulatory authority over the exchange.

?I have concerns about the affordable health care plan, but I know that whatever happens, Arkansans are better with the regulatory function being here rather than with the federal government,? he said.

And if the court strikes down the law?

?We?ll stop it right there,? he said.

The subcommittees will make recommendations to the Legislative Council, the legislative body that oversees state government during the interim between sessions. The council is scheduled to meet April 20.

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Nanoscale magnetic media diagnostics by rippling spin waves

ScienceDaily (Apr. 3, 2012) ? Memory devices based on magnetism are one of the core technologies of the computing industry, and engineers are working to develop new forms of magnetic memory that are faster, smaller, and more energy efficient than today's flash and SDRAM memory. They now have a new tool developed by a team from the National Institute of Standards and Technology (NIST), the University of Maryland Nanocenter and the Royal Institute of Technology in Sweden -- a method to detect defects in magnetic structures as small as a tenth of a micrometer even if the region in question is buried inside a multilayer electronic device.

The technique demonstrated at the NIST Center for Nanoscale Technology (CNST) builds on work by researchers at the Ohio State University. The idea is to trap and image oscillating perturbations of a magnetic field -- "spin waves" -- in a thin film. Trapped spin waves provide scientists with a powerful new tool to nondestructively measure the properties of magnetic materials and search for nanoscale defects that could or have caused memory failures, especially in multilayer magnetic systems like a typical hard drive, where defects could be buried beneath the surface.

According to NIST researcher Robert McMichael, when left alone, the material's magnetization is like the surface of a pond on a windless day. The pond is composed of smaller magnetic moments that come with the quantum mechanical "spin" of electrons. Tap the surface of the pond with a piece of driftwood, or microwaves in this case, and the surface will begin to ripple with spin waves as the microwave energy jostles the spins, which, in turn, jostle their neighbors.

"The trick we play is to tune the microwaves to a frequency just outside the band where the spin waves can propagate -- except right under our magnetic probe tip," says McMichael. "It's like the pond is frozen except for a little melted spot that we can move around to check magnetic properties at different spots in the sample."

The trapped spin waves are disturbed by defects in the material, and this effect allows the defects to be characterized on 100 nm length scales.

Previous work had shown this same effect in magnetic spins that were oriented perpendicular to the magnetic film surface, meaning that the individual spins coupled strongly with their neighbors, which limited the resolution. This new work adds the extra feature that the magnetic spins are aligned in plane with one another and are not as tightly coupled. This setup is not only more representative of how many magnetic devices would be structured, but also allows for tighter focusing and better resolution.

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Story Source:

The above story is reprinted from materials provided by National Institute of Standards and Technology (NIST).

Note: Materials may be edited for content and length. For further information, please contact the source cited above.

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Journal References:

1. Inhee Lee, Yuri Obukhov, Gang Xiang, Adam Hauser, Fengyuan Yang, Palash Banerjee, Denis V. Pelekhov, P. Chris Hammel. Nanoscale scanning probe ferromagnetic resonance imaging using localized modes. Nature, 2010; 466 (7308): 845 DOI: 10.1038/nature09279
2. H-J. Chia, F. Guo, L.M. Belova and R. D. McMichael. Nanoscale spin wave localization using ferromagnetic resonance force microscopy. Physical Review Letters, 108, 087206 (2012) [link]

Note: If no author is given, the source is cited instead.

Disclaimer: Views expressed in this article do not necessarily reflect those of ScienceDaily or its staff.

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Interior design Services: High Quality Outsourcing 3D Cad Modeling ...

Why settle for something mediocre when there is no dearth of architectural services in India where you can get the best and cost effective services. Architectural services in India require computer aided designs (CAD) that are best performed by trained personals. Outsourcing these computed designs is known as Offshore CAD Drafting services.

CAD has slowly got into the list of architecture of today?s complex designs. You can easily find individuals who are trained but how far do they excel in their field is another say that is why companies opt for outsourcing CAD services.

Average CAD professional of a company cost,, excluding additional cost of workstation, office overheads, printing, and stationary. Thus, the cumulative expensive is quite high in comparison to the cost of outsourcing it. So work smart than slogging for the best designs. The monetary savings from this end can be put to use for other aspects of the business. Architectural design and drafting service providers have CAD specialized who have greater productivity.

Even though there might be a requirement for CAD from the companies, however they are always kept on a hold so that they are available as and when the company requires them to do so.

CAD is not critical details like account statements that it cannot be outsourced and? CAD Conversion Services is highly reputed in the filed of Architectural firms of India. There is guarantee of no damage to even critical details. Experience tells tales of success of architectural drafting services been outsourced.

CAD Conversion Services India has team of highly efficient and skilled CAD professionals. These computer aided designs need technical and engineered designs of specific or whole design.
CAD Conversion Services India is India based firm and the country is considered to be leader in outsourcing business.

It offers various CAD drafting services for building plans, architectural & structural engineering, schematics & wiring diagrams, and MEP drawings. They can convert old drawings, hand-drawn sketches, and scanned images using AutoCAD, and other widely used software tools. The final output will be a completely editable multi-layer CAD formats ((DWG, DGN, DXF, etc.) ? fully compliant with your codes, specifications, and layering standards. For more information,

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RiechesBaird Named Top Branding Agency By BtoB Magazine ...

RiechesBaird has been named one of the nation?s top BtoB branding agencies by BtoB Magazine for the 11th consecutive year.

BtoB Magazine?s annual listing of the top agencies in the United States features a select group of leading national BtoB agencies, based on innovative online marketing campaigns, percentage of business that is BtoB, new client wins, effective use of new technologies, overall revenue growth and other criteria.

?Being recognized as one of the nation?s top corporate branding agencies by BtoB Magazine for the 11th consecutive year is a testimony to our entire RiechesBaird team?s determination and dedication to create the world?s most successful BtoB brands year after year,? said Ryan Rieches, co-founder and CEO of RiechesBaird.? ?Our corporate branding methodology embraces business strategy to enhance business performance, and to have that recognized yet again by BtoB Magazine is gratifying.?

?To continually earn this position as one of the top BtoB agencies in the country demonstrates our unyielding commitment to aligning brand strategy with business strategy, so our clients can compete better and grow market share,? said Ray Baird, co-founder and president of RiechesBaird.? ?Our vision is to create the world?s most successful brands, and our mission is to find greatness and promote it fearlessly.?

RiechesBaird specializes in building the value of BtoB brands and has worked with such brands as American Airlines Cargo, Toyota, Sharp and Linksys, a division of Cisco.

In honoring RiechesBaird, BtoB Magazine noted that over the past year RiechesBaird added new clients including Huawei Technologies USA, Hitachi Consulting and ABM Industries, while continuing to work with existing key clients including American Airlines Cargo and Epicore Software. The magazine highlighted a trio of online campaigns created and implemented by RiechesBaird, including ?Did You Know?? for American Airlines Cargo, ?Promise of the Future? for Huawei Technologies USA, and ?Accelerating Nonprofit Success? for OneOC.? The magazine also recognized that RiechesBaird launched BrandingBusiness.com last year, an industry thought-leadership portal dedicated to brand strategy, brand development and brand engagement.

??Branding Business? is not merely a tag line or ?shorthand? for our BtoB expertise,? added Rieches.? ?BrandingBusiness.com is a natural extension of our work and a valuable place for businesses to discover real-world insights that help drive business forward and improve market share.?

Read full press release.

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Gamification Platform BigDoor Raises $5 Million From Foundry Group

White label gamification platform BigDoor has raised $5 million in new funding led by existing investor Foundry Group, bringing BigDoor?s total funding to $13 million. BigDoor's gamification platform essentially allows online publishers to add game mechanics to web interactions and engagements. BigDoor helps companies build game-like mechanics and loyalty programs into their sites or apps by enabling points, badges, levels, leaderboards, virtual currency and virtual goods.

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