Specialty Operations Coordinator
Location
Ohio
Posted
31 days ago
Salary
$16 - $20 / hour
High School1 yr expEnglish
Job Description
• Analyze low- and mid-level workers compensation claims to determine benefits due.
• Ensure ongoing adjudication of claims within company standards and industry best practices.
• Adjust medical-only claims and low- to mid-level lost-time workers compensation claims under close supervision.
• Support other claims staff with larger or more complex claims as necessary.
• Process workers compensation claims reviewing compensability, benefits due, and files necessary documentation with state agency.
• Communicate claim action/processing with appropriate parties including, but not limited to: claimant, client, state agency, managed care organization and appropriate medical contact.
• Ensure claims files are properly documented and claims coding is correct.
• Maintain professional client relationships.
• Coordinate actuarial/settlement issues impacting employers with rate and settlement departments.
Job Requirements
- High School diploma or GED required.
- Licenses as required.
- One (1) year of claims management experience or equivalent combination of education and experience required.
- 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.
Benefits
- Three Medical, and two dental plans to choose from.
- Tuition reimbursement eligible.
- 401K plan that matches 50% on every $ you put in up to the first 6% you save.
- 4 weeks PTO your first full year.
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