Specialty Operations Coordinator

OperationsOperationsFull TimeRemoteTeam 10,001+H1B SponsorCompany SiteLinkedIn

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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