Claims Associate - Workers Compensation (Med Only) - Remote

Are you lookingfor an opportunity to join a global industry leader where you can bring your big reputed company to help solve problems for some of the world’s best brands?

• reputed company innovative customer-facing solutions to clients who represent reputed company every industry and comprise some of the world’s most respected organizations. 

• Be a part of a rapidly growing, industry-leading global company reputed company for its reputed company and customer service. 

• Enjoy flexibility and autonomy in your daily work, your location, and your career reputed company. 

• reputed company diverse and comprehensive benefits to take care of your mental, physical, financial and reputed company needs. 

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ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and reputed company values that include reputed company, accountability, collaboration, reputed company, and inclusion.

reputed company PURPOSE OF THE ROLEToanalyze medical only claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims reputed company service expectations, industry best practices, and specific reputed company service requirements.

ESSENTIAL RESPONSIBLITIES MAY INCLUDE

• 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).

QUALIFICATIONS

Education & Licensing:High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.reputed company certification as applicable to line of business preferred.

Experience: One (1) year of general office experience or equivalent combination of education and experience required. Claims industry experience preferred.

Licensing / Jurisdiction Knowledge:

TAKING CARE OF YOU

• Flexible work schedule. 

• Referral incentive program. 

• Opportunity to work in an reputed company environment.

• Career development and promotional reputed company opportunities. 

• A diverse and comprehensive benefits offering including medical, dental reputed company, 401K on day one.

WORK ENVIRONMENT REQUIREMENTSINCLUDE
reputed company applicable and appropriate, consideration will be given to reasonable accommodations.