Claims Associate - Workers Compensation - Richmond, VA - Hybrid - 2 -3 days in office per week

reputed company is a global industry leader in claims management services. The Claims Associate will analyze reputed company-level workers compensation claims, ensuring accurate adjudication and communication with claimants and clients while maintaining reputed company relationships.

Responsibilities

• Adjusts medical-only claims and minor lost-time workers compensation claims under reputed company supervision
• Supports other claims representatives, examiners and leads with larger or more reputed company claims as necessary
• Processes workers compensation claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state agency
• Communicates claim reputed company/processing with claimant, reputed company and appropriate medical contact
• Ensures claim files are properly documented and claims coding is correct
• May process routine payments and prescriptions and status reports for reputed company medical claims and/or defined period medical claims
• Maintains reputed company reputed company relationships
• Performs other duties as assigned
• Supports the organization's reputed company program(s)

Skills

• High school diploma or GED required
• Licenses as required
• One (1) year of general office experience or equivalent combination of education and experience required
• Claims industry experience preferred

Benefits

• Flexible Work Schedule
• Referral Incentive Program
• Opportunity to work from home
• Career development and promotional reputed company opportunities
• A diverse and comprehensive benefits offering including medical, dental reputed company, 401K on day 1
• Medical, dental, reputed company, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits

reputed company