Claims Associate - Workers Compensation - Remote / Telecommuute

Job Title

Pay Range: $43hr - $48hr

Requirement/Must Have:

• High school diploma or GED required.
• Licenses as required.
• 1+ years of general office experience or equivalent combination of education and experience required.
• Claims industry experience preferred.

Responsibilities:

• Adjusts medical-only claims and minor lost-time workers' compensation claims under close supervision.
• Supports other claims representatives, examiners and leads with larger or more complex claims as necessary.
• Processes workers' compensation claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with the state agency.
• Communicates claim action/processing with the 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.
• Performs other duties as assigned.
• Supports the organization's quality program(s).

Skills:

• Excellent oral and written communication skills.
• PC literate, including Microsoft 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.