Workers Compensation Client Performance Manager | Dedicated Client | Remote PRIMARY PURPOSE: To be responsible for the quality aspects of a specific client including client service instructions and reserves; to conduct client specific audits; to monitor client audit compliance; to resolve client issues by working with the company Quality and Operations staff. ESSENTIAL FUNCTIONS and RESPONSIBILITIES: Ensures adherence to client service instructions. Monitors client reserves for accurate reflection of client's book of claims; ensures reserves are within an appropriate range. Tracks and trends performance guarantee and gain share agreements at the client level. Ensures client's claims reports are properly and timely prepared and distributed. Monitors client's average cost of claims; identifies trends and excessive cost factors. Conducts client specific operational audits; monitors client audit compliance. Works with company Quality and Operations staff to resolve client issues including results of client Compass audits. Manages client specific internal control report issues. Ensures timely payment of TTD, medical and vendor bills; ensures appropriate vendor utilization. Reviews aging claims for file closure ensuring claims do not age beyond appropriate time frames. ADDITIONAL FUNCTIONS and RESPONSIBILITIES: Performs other duties as assigned. Supports the organization's quality program(s).
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