Workers' Compensation Claims Specialist

Job Summary

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

Key Responsibilities

• Manage and investigate medical only claims to determine compensability and eligibility for benefits
• Evaluate and establish action plans to manage claims costs effectively
• Collaborate with various stakeholders to ensure quality medical care 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 are preferred
• Must pass the claims adjuster license exam(s) within 6 months of hire
• Preference for candidates with experience in multiple state claims management