•  A stable and consistent work environment in an office setting with opportunity working from home a few days a week
• Career development and promotional growth opportunities through increasing responsibilities 
• A diverse and comprehensive benefits package to take care of your mental, physical, financial and professional needs 

PRIMARY PURPOSE OF THE ROLE: To analyze reported lower-level workers compensation claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices.

OFFICE LOCATION & SCHEDULE

Blue Ash, OH

Hybrid schedule after initial onboarding and training period

37.5 hour work week

ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates to fill a variety of roles including, contact center representatives, disability coordinators and client service coordinators. Ideal candidates will thrive in a collaborative team environment, show motivation and drive in their work ethic, are customer-oriented, naturally empathic and solution-focused.

ESSENTIAL RESPONSIBILITIES MAY INCLUDE

• Adjusts medical-only claims and minor lost-time workers compensation claims under close supervision.
• Supports other claims representatives, examiners and leads with larger or more complex claims as necessary.
• Processes workers compensation claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state agency.
• Communicates claim action/processing with claimant, client and appropriate medical contact.
• Ensures claim files are properly documented and claims coding is correct.
• May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims.
• Maintains professional client relationships.

QUALIFICATIONS

• Education & Licensing: High school diploma or GED required

• Skills: Strong oral and written communication, computer literate – including Microsoft Office, organizational skills required

• Experience: Clerical or customer service experience or equivalent combination of education and experience preferred. Experience with medical terminology or experience in medical office.

• Skills: time management, customer service, leadership skills

TAKING CARE OF YOU
•     Flexible work schedule. 
•    Referral incentive program. 
•    Career development and promotional growth opportunities. 
•    A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.