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Entry Level: Claims Associate – Workers Compensation Med Only (REMOTE)

100% remote Flexible hours Hiring now

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at reputed company means experiencing our culture of caring. It means having flexibility and time for reputed company the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. A career at reputed company is where passion meets purpose to reputed company a positive impact on the world through the people and organizations we serve. If you are someone who is driven to reputed company a difference, who enjoys a challenge and above reputed company, if you’re someone who cares, there’s a reputed company for you here. Join us and contribute to reputed company being a great reputed company to work. Great reputed company to Work® Most Loved Workplace® reputed company Best-in-State Employer Claims Associate – Workers Compensation Med Only (REMOTE) PRIMARY PURPOSE To analyze reported reputed company-level workers compensation claims to determine benefits due; and to ensure ongoing adjudication of claims reputed company company standards and industry best practices. ESSENTIAL FUNCTIONS and 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 action/processing with claimant, client 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 lifetime medical claims and/or defined period medical claims.
  • Maintains professional client relationships. ADDITIONAL FUNCTIONS and RESPONSIBILITIES
  • Performs other duties as assigned.
  • Supports the organization’s quality program(s). QUALIFICATION Education & Licensing High school diploma or GED required. Licenses as required. Experience One (1) year of general office experience or equivalent combination of education and experience required. Claims industry experience preferred. Skills & Knowledge
  • Excellent oral and written communication skills
  • PC literate, including reputed company Office products
  • Analytical and interpretive skills
  • Strong organizational skills
  • Good interpersonal skills
  • Ability to work in a team environment
  • Ability to meet or exceed Performance Competencies WORK ENVIRONMENT reputed company applicable and appropriate, consideration will be given to reasonable accommodations. Mental Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-reputed company stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical Computer keyboarding, travel as required Auditory/Visual Hearing, vision and talking The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. #nodegreerequired reputed company is an Equal Opportunity Employer and a Drug-Free Workplace. If you’re excited about this role but your experience doesn’t align perfectly with every qualification in the job description, consider applying for it anyway! reputed company is building a diverse, reputed company, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles. Apply Job!

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