PRIMARY PURPOSE: To access and assign workers compensation, disability and liability cases applying current policies and procedures per state workers compensation laws; and to increase efficiency of operation by providing general customer support duties and supporting the medical staff in a team environment.

ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• ​Accesses and assigns cases for medical case management, utilization review and clinical consultation.

• Provides accurate information to callers based on customer requests; triages telephone calls between utilization review, clinical consultation and telephonic case managers.

• Enters new claims data into the claims management system accurately; maintains data integrity.

• Supports clinical staff through the completion of components of the case management and utilization review process.

• Schedules diagnostic tests and physician appointments as assigned.

• Provides channeling services for injured workers, employers and claims examiners by directing into PPO network for treatment.

• Gathers statistics for record keeping and provides reports as required.

• Ensures by confirmation that fax forms and filings required by regulatory agencies have been received; distributes, faxes, mails and copies incoming and outgoing correspondence.

​ Education & Licensing

Associate's degree or two (2) years of college preferred.

Experience
One (1) year of administrative experience required. Customer service experience in a medical field preferred. Worker's compensation, disability and/or liability claims processing experience preferred.

Skills & Knowledge

• Knowledge of medical and insurance terms

• Knowledge of ICD 9 and CPT coding systems

• Excellent oral and written communication, including presentation skills

• PC literate, including Microsoft Office products

• Analytical and interpretive skills

• Strong organizational skills; detail-oriented

• Good interpersonal skills

• Ability to work in a team environment

• Ability to meet or exceed Performance Competencies

TAKING CARE OF YOU BY

• Offering a blended work environment.

• Supporting meaningful work that promotes critical thinking and problem solving.

• Providing on-going learning and professional growth opportunities.

• Promoting a strong team environment and a culture of support.

• Recognizing your successes and celebrating your achievements.

• Thrives when everyone is working towards the same vision/goals.

• We offer a diverse and comprehensive benefits package including:

  • Three Medical, and two dental plans to choose from.

  • Tuition reimbursement eligible.

  • 401K plan that matches 50% on every $ you put in up to the first 6% you save.

  • 4 weeks PTO your first full year.

​NEXT STEPS

If your application is selected to advance to the next round, a recruiter will be in touch.