Complex Claims Representative

Guard Insurance Group Wilkes Barre , PA 18701

Posted 1 week ago

Overview

Berkshire Hathaway GUARD welcomes and encourages current employees to grow their careers within the company. Advancing your employment with us enables you to continue leveraging our competitive benefits package and collaborative company culture which you won't find elsewhere. Our organization is rapidly changing and we're seeking to retain talented individuals who wish to establish an ongoing, rewarding career with us. If you're looking for an opportunity to develop your role, keep reading to review our benefits and job openings.

Benefits:

  • Excellent working hours (8:00 a.m.-4:30 p.m. M-F)

  • Generous vacation and sick time

  • Closed on all major holidays

  • Healthcare benefits begin on your first day of employment

  • 401K with company match and profit sharing

  • Tuition reimbursement after six months of employment

  • Remain part of Berkshire Hathaway Inc., one of the world's most admired companies

Responsibilities

The would handle loss time CCU level claims primarily for New York. This could be a great promotional opportunity for someone looking to expand their knowledge and experience of handling lost time claims.

Responsibilities:

  • Handle Primarily New York and some New Jersey CCU claims

  • Determines compensability and/or coverage issues for workers' compensation loss time claims

  • Negotiates and completes settlements under management's review

  • Gathers medical and factual evidence

  • Coordinates and directs the activities of outside investigation

  • Manages outside counsel and litigation within given authority

  • Communicates daily with claimants, and/or attorneys, outside investigators, rehabilitation personnel, as well as insureds, medical providers and agents

  • Completes timely and efficient claims handling responsibilities

Qualifications

  • Flexibility and Positive Attitude a Must

  • Ability to learn claims handling procedures in multiple states as needed

  • Demonstrates strong organizational, problem solving, negotiation and conflict resolution skills

  • Shows positive attitude toward GUARD and claims department

  • Demonstrates the ability to positively contribute to and supports the vision, values, and strategies of the Claims Department and proven ability to work well in a team environment

  • Innovative thinker with the ability to multi-task

  • Excellent verbal and written communication skills

icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Medical Claims / Repricing Assistant

Guard Insurance Group

Posted 1 week ago

VIEW JOBS 11/16/2021 12:00:00 AM 2022-02-14T00:00 Overview Berkshire Hathaway GUARD offers a collaborative company culture with outstanding benefits and competitive compensation. Our organization is still hiring during the Pandemic and we're looking for talented individuals to join our team and establish a rewarding career with us. Our success is founded on our strong reputation, and we have received an A+ "Superior" grade by the leading independent insurance rating organization. Backed by our ultimate parent company, Berkshire Hathaway Inc., our brand is founded upon trust, service, and innovation. If you're looking for an employer with integrity and flexibility, keep reading to learn about our benefits and job openings. Benefits: * Work life balance schedule- No Nights or Weekends! * Generous vacation and sick time * Closed on all major holidays * Healthcare benefits begin on your first day of employment * 401K with company match and profit sharing * Every 5 years employees receive a generous monetary award to be used toward a vacation! * Tuition reimbursement after six months of employment * Discover opportunities to advance your career * Be part of Berkshire Hathaway Inc., one of the world's most admired companies Hiring and Working During the Pandemic: * Virtual interviews * Virtual employee onboarding and training * Hybrid work model (Splitting time between working remotely and in the office) We have implemented rigorous safety measures and policies to ensure our associates are protected when working in the office including following all federal and local safety precautions and mandates. Berkshire Hathaway will continue to monitor the COVID-19 situation closely and will adjust our policies as needed to ensure the continued safety of our employees. Responsibilities The Medical Claims/Repricing Assistant is responsible for providing clerical support to the Repricing Associate. The Assistant will be responsible for data entry of billing information, verification of ICD-10 and CPT-4 codes, and submission of reconsiderations. Qualifications All candidates should have experience in a medical billing office environment, have a thorough understanding of billing and coding procedures, solid understanding of medical terminology and have strong computer experience. Guard Insurance Group Wilkes Barre PA

Complex Claims Representative

Guard Insurance Group