Goal:

Requires medical case management knowledge, knowledge of applicable state and/or federal workers’ compensation statutes and case law pertaining to benefit statutes affecting disability and the ability to coach internal and external customers in such.

Job Description:

40% of Time - Applies proactive case management techniques to contain, resolve and conclude assigned cases to meet the financial goals of clients by rapidly responding to new injuries and aggressively managing existing cases.

20% of Time - Establishes and maintains good working relationships with client Injury Managers and/or insurance company adjusters. Provides meaningful teaching and coaching on a daily basis to develop client Injury Managers in the GuilfordPare methodology on specific cases and on lessons learned from closed and successfully contained claims.

20% of Time - Maintains computer documentation in the GuilfordPare database and effective diary control on all cases to insure appropriate case follow-up. Maintains a thorough working knowledge of insurance companies automated claim-reporting systems and reports required to properly serve clients.

10% of Time - Provides prompt, courteous service to internal and external customers by responding to their requests for information. Understands the Management Action Plan (MAP) procedure, participates in gathering information from clients to complete the MAP document and completes any quarterly or biannual reports as required by the client contract.

10% of Time - Provides internal and external customers with meaningful updates on progress toward achieving mutual goals through informal discussions and formal presentations.