Claims Support Coordinator (Verification)

The Claims Support Coordinator plays a critical role in ensuring the accurate and timely processing of workers' compensation prescription claims. This position serves as a key liaison between insurance carriers, healthcare providers, legal representatives, patients, and internal teams to investigate claim issues, validate information, resolve discrepancies, and support reimbursement activities. Success in this role requires strong analytical skills, attention to detail, sound judgment, and the ability to independently manage complex claim scenarios while maintaining a high level of accuracy and customer service.

This role is ideal for candidates with experience in healthcare, insurance, pharmacy operations, claims processing, or revenue cycle management who enjoy solving problems, navigating ambiguity, and improving operational outcomes.

What You’ll Do

• Validation of claim data to ensure accuracy on all claims entered into the system prior to invoices
• Ensure accuracy on patient and claim detail in core system prior to invoices being generated
• Validate and verify patient, prescription, insurance, and claim information to ensure accuracy prior to invoice generation and claim adjudication.
• Independently investigate complex claims issues, identify discrepancies, and take appropriate action to resolve missing or inaccurate information.
• Partner with insurance carriers, physician offices, legal representatives, and patients to obtain required documentation and ensure timely claims processing.
• Manage multiple work queues while consistently meeting quality, productivity, and SLA targets.
• Analyze claim-related data and documentation to support accurate claim processing and prior authorization activities.
• Document all communications and actions thoroughly and accurately within company systems.
• Stay current on workers' compensation regulations, payer requirements, and internal policies and procedures.
• Identify process improvement opportunities and recommend solutions that enhance efficiency, quality, and customer experience.
• Serve as a subject matter resource within the team and provide guidance to newer team members as appropriate.
• Demonstrate ownership, accountability, and sound judgment when resolving claims issues and escalating exceptions.

What You’ll Need to Succeed

• 3+ years of experience in healthcare, insurance, pharmacy operations, claims processing, prior authorization, benefits verification, medical billing, revenue cycle management, or a similar operational environment.
• Strong analytical and problem-solving skills with the ability to investigate issues, identify discrepancies, and resolve complex claim-related challenges.
• Demonstrated ability to manage multiple priorities and meet quality, productivity, and service-level expectations in a fast-paced environment.
• Excellent attention to detail and commitment to accuracy.
• Strong written and verbal communication skills with the ability to interact professionally with insurance carriers, healthcare providers, legal representatives, patients, and internal stakeholders.
• Experience documenting and maintaining accurate records within business systems.
• Proficiency with Microsoft Office and other business applications.
• Ability to learn and apply insurance, claims, and regulatory requirements.
• Self-motivated, accountable, and able to work independently while contributing to a collaborative team environment.
• Experience with workers' compensation, healthcare claims, pharmacy operations, or insurance services is a plus

Why You'll Love Working at IWP

Our culture is built on our ICARE values: Ingenuity, Collaboration, Advocacy, Respect, and Empowerment. These values guide how we support our patients — and how we support each other.

We offer:

• Monthly engagement events and larger annual celebrations (tent party, summer BBQ, Family Fun Day)
• Tuition reimbursement and an internal-first job posting philosophy to support career growth
• Onsite fitness center, free parking, and a competitive benefits package

• A positive, inclusive environment where employees feel valued, supported, and empowered

Make a Difference with IWP

Injured Workers Pharmacy (IWP) is proud to be THE Patient Advocate Pharmacy, helping injured workers around the country access their prescription medications with ease. As a specialized workers’ compensation home delivery pharmacy, we collaborate with the legal, medical, and insurance communities to help injured workers return to a productive life. At IWP we believe in our service, but it’s the people who make it a great place to work. We value our employees and strive for a culture of teambuilding, open mindedness, and fun. If that sounds like something you’d like to be part of, we’d love to hear from you! Your compensation will include a competitive salary, generous benefits, and opportunities for growth and development.

We are dedicated to attracting and retaining top talent with competitive and fair compensation. The salary range for this role is $22 - $24/hr.

IWP is an Equal Opportunity Employer. IWP does not discriminate on the basis of race, creed, color, religion, national origin, sex, sexual orientation, gender identity, age, physical or mental disability, or any other basis covered by appropriate law. All employment decisions are made on the basis of qualifications, merit, and business need. IWP is committed to providing reasonable accommodations for qualified individuals with physical and mental disabilities in our job application procedures. If you need assistance or an accommodation due to a disability, you may contact us at View email address on aiapply.co We will make a determination on your request for reasonable accommodation on a case-by-case basis.