Virginia Licensed Claims Specialist

Job Summary

A company is looking for a Medical Only Claims Specialist.

Key Responsibilities

• Receives claims, confirms policy coverage, and acknowledges the claim
• Determines the validity and compensability of claims, establishes reserves, and authorizes payments
• Communicates claim status with customers, claimants, and clients while adhering to guidelines

Required Qualifications and Education

• Bachelor's degree or a combination of education and related experience
• Minimum of 1 year of industry experience in claim handling
• Workers' Compensation experience required
• Licensed as required jurisdictionally