Case Management Specialist

Job Summary

A company is looking for a Case Management Specialist to manage workers compensation, disability, and liability cases while providing customer support and assisting medical staff.

Key Responsibilities

• Access and assign cases for medical case management and utilization review
• Provide accurate information to callers and triage telephone calls
• Enter new claims data into the management system and maintain data integrity

Required Qualifications, Training, and Education

• Associate's degree or two years of college preferred
• One year of administrative experience required
• Customer service experience in a medical field preferred
• Experience in worker's compensation, disability, and/or liability claims processing preferred
• Knowledge of medical and insurance terms, including ICD 9 and CPT coding systems