Job Details

Analyze reported lower-level workers compensation claims to determine benefits eligibility and ensure ongoing adjudication aligns with company standards and industry best practices. ESSENTIAL RESPONSIBLITIES MAY INCLUDE - Handles medical-only and minor lost-time workers compensation claims under supervision. Assists senior claims staff with complex cases as needed. Determines compensability and benefits; ensures reserve accuracy and files required documentation. Communicates claim status with claimants, clients, and medical contacts. Maintains accurate documentation and correct claims coding. Processes routine payments, prescriptions, and status reports for ongoing medical claims. Builds and maintains professional client relationships. QUALIFICATIONS Education & Licensing: 1 year of general office experience or equivalent combination of education and experience required. Claims industry experience preferred. High School Diploma or GED required. Bachelor's degree from an accredited coll...Workers Compensation, Claims, Associate, Worker, Compensation, Administrative, Insurance