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Medical Only Claims Specialist
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Job Description
- Req#: MEDIC009844
Employer Industry: Risk Management Solutions
Why consider this job opportunity:
- Salary range of $16.36 - $26.31 per hour
- Opportunity for career advancement within a stable and growing company
- Comprehensive benefits package, including Medical, Dental, Vision, and 401K options
- Supportive company culture with a commitment to core values of Accountability, Commitment, Excellence, Integrity, and Teamwork
- Remote work flexibility, allowing for a better work-life balance
What to Expect (Job Responsibilities):
- Manage non-complex medical only claims and minor lost-time workers' compensation claims under supervision
- Confirm policy coverage and determine the validity of claims
- Establish reserves and authorize payments within established limits
- Communicate claim status with customers, claimants, and clients
- Assist other claims professionals with more complex claims as necessary
What is Required (Qualifications):
- Bachelor's degree or a combination of education and related experience
- Minimum of 1 year of industry experience and claim handling
- Workers' Compensation (WC) experience required
- Licensed as required jurisdictionally
- Excellent customer service, written, and verbal communication skills
How to Stand Out (Preferred Qualifications):
- Proficiency in MS Office, including Excel spreadsheets
- Ability to rapidly learn and understand claims practices, relevant statutes, and medical terminology
- Strong problem-solving skills and ability to work independently and within a team
#RiskManagement #RemoteWork #CareerGrowth #WorkersCompensation #EmployeeBenefitsAbout the company
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