Senior Medical Only Claims Representative

Job Summary

A company is looking for a Senior Medical Only Claims Representative in the Northeast Workers' Compensation sector.

Key Responsibilities

• Investigate and manage all aspects of medical only claims
• Verify coverage, resolve claims promptly, and manage medical invoices
• Handle claims primarily from Connecticut and New York, with authority to approve or deny payments

Required Qualifications and Education

• At least 2 years of experience handling medical only claims
• Current licenses to adjust workers' compensation claims in Connecticut, New Hampshire, Rhode Island, and Vermont
• Willingness to learn the jurisdictions of Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont
• A high school diploma is required