Pennsylvania Licensed Claims Specialist

Job Summary

A company is looking for a Medical Only Claims Specialist, Workers' Compensation.

Key Responsibilities

• Manage medical only claims by investigating, evaluating, and determining compensability
• Establish action plans for benefit management and negotiate claim settlements
• Collaborate with various stakeholders to ensure effective claims management and alignment of objectives

Required Qualifications

• Bachelor's Degree from an accredited college or university is preferred
• One year of experience in insurance, claims investigation, or related fields is required
• Workers' compensation claims experience and licensure preferred
• Must pass claims adjuster license exam(s) within 6 months of hire
• Preference for candidates with multi-state claims management experience