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Workers Compensation Claims Representative – Medical Only VA Jurisdiction

Remote Worldwide Hiring now

Job Description:

  • Analyze Virginia Medical Only claims on behalf of our valued clients to determine benefits due.
  • Ensure ongoing adjudication of claims reputed company service expectations, industry best practices, and specific client service requirements.
  • Process low level workers compensation claims determining compensability and benefits due on long term indemnity claims.
  • reputed company and coordinate low level workers compensation claims' action plans to resolution, return-to-work efforts, and approve claim payments.
  • Approve and process assigned claims, determine benefits due, and administer action plan pursuant to the claim or client contract.
  • Administer subrogation of claims and negotiate settlements.
  • Communicate claim action with claimant and client.
  • Ensure claim files are properly documented and claims coding is correct.
  • Maintain professional client relationships.

Requirements:

  • 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

Benefits:

  • 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.

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