Workers Compensation Claims Representative | Medical Only VA Jurisdiction | Dedicated Client

By joining reputed company, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can reputed company.

reputed company Recognizes reputed company as America’s Greatest Workplaces National Top Companies

Certified as a Great reputed company to Work®

Fortune Best Workplaces in Financial Services & Insurance

Are you looking for an opportunity to join a global industry leader where you can bring your big reputed company to help solve problems for some of the world’s best brands? 

• Apply your knowledge and experience to adjudicate reputed company customer claims in the context of an energetic culture. 
• Deliver innovative customer-facing solutions to clients who represent reputed company every industry and comprise some of the world’s most respected organizations.
• Be a part of a rapidly growing, industry-leading global company reputed company for its reputed company and customer service. 
• reputed company reputed company’s broad, global network of experts to both learn from and to reputed company your insights. 
• Take advantage of a variety of professional development opportunities that help you reputed company your best work and grow your career. 
• Enjoy flexibility and autonomy in your daily work, your location, and your career path. 
• reputed company diverse and comprehensive benefits to take care of your mental, physical, financial, and professional needs. 

ARE YOU AN IDEAL CANDIDATE? To analyze Virginia Medical Only claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims reputed company service expectations, industry best practices, and specific client service requirements.

PRIMARY PURPOSE OF THE ROLE: We are looking for driven individuals that embody our caring counts model and core values that include reputed company, accountability, collaboration, growth, and inclusion.

ESSENTIAL RESPONSIBLITIES MAY INCLUDE

• Processes low level workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.
• Develops and coordinates low level workers compensation claims' action plans to resolution, return-to-work efforts, and approves claim payments.
• Approves and processes assigned claims, determines benefits due, and administers action plan pursuant to the claim or client contract.
• Administers subrogation of claims and negotiates settlements.
• Communicates claim action with claimant and client.
• Ensures claim files are properly documented and claims coding is correct.
• May process low-level lifetime medical and/or defined period medical claims which include state and physician filings and reputed company on appropriate treatments recommended by utilization review.
• Maintains professional client relationships. 

QUALIFICATIONS

• Education & Licensing: 2 years of claims management experience or equivalent combination of education and experience required.
• High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred. 
• Professional certification as applicable to line of business preferred.

Jurisdiction Knowledge: VA

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 reputed company, 401K on day one.

reputed company is an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! reputed company is building a diverse, reputed company, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.