Claims - Workers Comp Technician I - II

About the role

Claims Workers Compensation is currently seeking a Workers' Compensation Technician I - II to handle medical only workers' compensation claims.

Responsibilities

• Verify coverage and review class codes to ensure proper setup and coding of medical only claims
• Initial and regular contact with agents, employers, employees and providers until medical only claims are concluded
• Establish initial loss and expense reserves for medical only claims
• Accurate and timely submission of all state filings as required
• Review of medical bills and records to confirm causal relationship to allowed/accepted injuries
• Approval/denial of medical bills as required
• Utilize managed care programs as appropriate
• Review and authorize/reject prescriptions when prior-authorization is required
• Facilitate the use of employer physician panels as appropriate
• Process and handle unmatched medical bills when received
• Work collaboratively with WC claim handling associates

Qualifications

• High school diploma or equivalent
• Understanding of workers' compensation claims handling basics preferred
• Knowledge of Microsoft Outlook, Word, Excel and Adobe
• Strong decision-making skills and acute attention to detail
• Excellent verbal and written communication skills
• Excellent customer service skills

Pay

The pay range for this position is $40,000-$50,000 annually. The pay determination is based on the applicant's education, experience, location, knowledge, skills, and abilities.