Medical Only Occupational Accident Claims Adjuster, Work Comp Paralegal, Legal Assistant

Job Description:

• 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.

Benefits:

• 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

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