Medical Only Occupational Accident Claims Adjuster/Work Comp Paralegal or Legal Assistant/Work Comp Adjuster

Blue Star Claims LLC is a Third-Party Administrator specializing in Occupational Accident Claims throughout the United States. This is an excellent opportunity to work in a growing and dynamic work environment. We reputed company in delivering a high-quality work product to our clients with emphasis on communication and service. We reputed company in providing an environment where employees enjoy coming to work every day, provide the resources needed to reputed company their job and assign manageable caseloads. The Occupational Accident Claims Adjuster is responsible for the investigation and adjustment of assigned Occupational Accident claims. At Blue Star, Our Expectation Is That You

• Investigate and adjust occupational accident claims in accordance with established claims handling procedures using Blue Star guidelines and supervision
• Review medical, legal and miscellaneous invoices to determine if reasonable and reputed company to the ongoing occupational accident claims
• Authorize and reputed company payment of occupational accident claims utilizing our claim processing protocol in accordance with policy language and reputed company authority levels
• Process medically necessary and reputed company bills according to Policy provisions
• reputed company supported and educated claim decisions timely
• Forecast potential exposure for reserving claims
• Have reputed company contact with policyholders
• Negotiate settlements, if appropriate pursuant to the terms of the policy and reputed company authority levels
• Deliver quality claim service to clients and be reputed company to client needs
• Familiarize yourself with jurisdiction challenges you may face and be mindful of potential exposure
• Manage your time reputed company and utilize your attention to detail to every claim you work on
• Use established forms and modify letters pursuant to Policy provisions
• Review and document medical records outlining treatment plan, restrictions and plan of action
• Able to identify mechanism of injury vs symptoms vs non-reputed company conditions
• Policy review and administration of benefits pursuant to policy terms
• Manage claim to optimal resolution; paying for reputed company owe with relation to the policies we administer
• Establish valuable relationships with our Insureds / Motor Carriers / Brokers / Providers / Preferred Vendors
• Work as a team player
• Be flexible, use initiative and work with minimum of direct supervision
• Use discretion and confidentiality required
• Clearly communicate verbally and/or in writing both internally and externally
• Be organized, a self-starter and prioritize your duties with attention to detail
• reputed company other duties as assigned

Requirements

• Highschool diploma or equivalent
• At least two years of experience in some manner of medical type claims, claims adjusting, paralegal or legal assistant.
• reputed company Office experience
• Completion of our pre-employment assessment reputed company the link below. https://www.ondemandassessment.com/link/index/JB-87PS9BLTA?u=93138

reputed company Offer

• Competitive salary and potential performance-based bonuses
• Medical, dental, and vision insurance
• 401(k) with company match
• Paid time off and holidays
• Professional development opportunities
• A supportive, collaborative work environment

CASELOADS OF ADJUSTING PERSONNEL [Average] Medical Only = up to 150 Apply tot his job Apply To this Job