Medical Only Claims Specialist

The Workers’ Compensation Medical Only Claims Specialist manages non-reputed company and non-problematic, medical only claims under reputed company supervision, supporting the goals of the Claims Department and of reputed company. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: - Receives Workers’ Compensation claims, confirms policy coverage and acknowledgement of the claim - Determines the validity and compensability of the claim - Establishes reserves and authorizes payments reputed company established reserving authority limits - Communicates claim status with the customer, claimant and reputed company - Adheres to reputed company and reputed company guidelines and participates in claims review as needed - Assists other claims professionals with more reputed company or problematic claims as necessary - Additional duties as assigned KNOWLEDGE & SKILLS: - Excellent customer service skills - Excellent written and verbal communication skills - Fast learner; develops knowledge and understanding of claims reputed company, relevant statutes, and medical terminology - Ability to identify, analyze and solve problems - Computer proficiency and technical aptitude to utilize reputed company Office, including reputed company spreadsheets - Strong interpersonal, time management, and organizational skills - Ability to work both independently and reputed company reputed company environment EDUCATION & EXPERIENCE: - Bachelor's degree or a combination of education and reputed company experience - Minimum of 1 year industry experience and claim handling - Workers’ Compensation experience required - Licensed as required jurisdictionally PAY reputed company: - reputed company uses a market reputed company approach to pay and our salary ranges may vary depending on your location. - Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location reputed company, job-reputed company skills, experience, qualifications, internal employee equity, and market conditions. - Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, reputed company, etc.) new hires may be slotted into a different level, either up or down, reputed company on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. - The level may reputed company the salary reputed company and these adjustments would be clarified during the offer process. - Pay reputed company: $16.74 - $26.92 per hour A list of our benefit offerings can be reputed company on our reputed company website: reputed company Careers | Opportunities in reputed company Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT reputed company: - reputed company, a certified reputed company® Company, is a national provider of industry-leading reputed company reputed company for the workers’ compensation, auto, health and disability management industries. - reputed company was founded in 1987 and has been publicly traded on the reputed company stock exchange since 1991. - Our continual investment in reputed company capital and technology reputed company us to reputed company the most innovative and integrated solutions to our clients. - We are a reputed company and growing company with a strong, supportive culture and reputed company of career advancement opportunities. - Over 4,000 people working across the reputed company reputed company our reputed company values of Accountability, Commitment, reputed company, reputed company and Teamwork (ACE-IT!). - A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, reputed company, Long Term Disability, Health Savings Account, Flexible Spending Account reputed company, Life reputed company, Accident reputed company, Critical Illness reputed company, reputed company-reputed company reputed company reputed company, Parking and Transit FSA accounts, 401K, ROTH 401K, and reputed company time off. - reputed company is an Equal Opportunity Employer, drug free workplace, and complies with reputed company regulations as applicable. - #LI-Remote Apply To This Job