Medical Care Coordinator, Occupational Health Services

Description

JOB SUMMARY

The Sr. Program Specialist Occupational Health Services (OHS) - Medical Only supports Marriotts OHS and Risk Management operations by coordinating medical-only claim activity maintaining accurate claim documentation supporting timely communication with associates providers properties claim partners and internal stakeholders and helping ensure consistent claim handling across the organization.

This position helps monitor claim progression follow up on missing or incomplete information protect confidential associate and medical information and support compliant service-focused administration of medical-only workers compensation matters.

CANDIDATE PROFILE

Education and Experience

Required

• 3 years relevant experience in administrative operational support roles within healthcare occupational health claims or equivalent functions.

• High School Diploma or GED.

• Experience delivering exceptional customer service and applying strong organizational follow-up and problem-solving skills in a fast paced high-volume environment.

Preferred

• Associate degree or higher in healthcare administration business occupational health risk management or related field preferred.

• Experience in occupational health workers compensation claims insurance healthcare operations or risk management.

• Experience with electronic medical health records Microsoft Office 365 and data entry/reporting practices.

CORE WORK ACTIVITIES

• Coordinate medical-only claim activity from intake through resolution in alignment with established Occupational Health & Safety and workers compensation procedures.

• Review injury reports medical documentation claim notes and related information for completeness accuracy and timely follow-up.

• Communicate with associates property contacts healthcare providers claims partners and internal stakeholders to obtain information and support claim progression.

• Maintain accurate claim records documentation correspondence and system updates in accordance with department expectations.

• Monitor claim status pending documentation provider responses and follow-up needs to support timely resolution.

• Assist with identifying incomplete delayed or inconsistent claim information and escalate concerns to appropriate OHS leadership or claim partners.

• Support coordination of medical treatment information work status documentation and return-to-work related communications as applicable.

• Provide administrative and operational support for medical-only claim workflows reporting needs audits and process improvement activities.

• Protect confidential associate and medical information while following applicable privacy compliance and recordkeeping expectations.

• Partner with team members to promote consistent claim handling responsive customer service and effective communication across properties and stakeholders.

At Marriott International we are dedicated to being an equal opportunity employer welcoming all and providing access to opportunity. We actively foster an environment where the unique backgrounds of our associates are valued and greatest strength lies in the rich blend of culture talent and experiences of our are committed to non-discrimination on any protected basis including disability veteran status or other basis protected by applicable law.

Required Experience:

IC