Medical Only Claims Representative

W.R. Berkley Corporation Greensboro , NC 27395

Posted 3 weeks ago

Company Details

In workers compensation, Responsiveness Matters. With over 30 years of expertise and 100% focus on workers compensation, Key Risk works with employers to create solutions specific to their needs. With an innovative approach to workers compensation, we create value through the relationships we develop, businesses we support and people we protect.

Employers who partner with Key Risk are provided dedicated risk management expertise and automatic access to workplace safety resources. In the event of an injury, our claims management approach provides employers with efficient claim handling, jurisdictional expertise and industry-leading results.

Our mission is to deliver innovative and responsive workers compensation solutions that provide our clients the freedom to do what they do best.

The Key Risk difference is Our Team. Our associates are our greatest resource and define who and what we are, as well as what we can become. We attract, select and retain people who are experts in their field. We promote the growth and success of each associate through an ongoing commitment to innovation, continuous improvement and education.

Responsibilities

Key Risk is looking for an enthusiastic professional who will be responsible for the management of medical only workers' compensation claims.

Principle Responsibilities

  • Maintain good lines of communication with employers, adjusters, and providers

  • Discuss with an employer, issues relative to an injured workers' return to work status

  • Request medical notes, proper billing format, and other written/verbal information from employers and medical providers to determine appropriateness of payment of medical bills and whether a claim is truly medical only

  • Timely and accurately reserve for medical only claims assigned

  • Document relevant written and oral communication received relative to medical-only claims in the log notes

  • Discuss with an employee, issues relative to whether a bill has been paid or whether travel or medical reimbursement has been issued

  • Assist in the management of communication of the unit with customers, providers and injured employees

  • Enter medical notes into claim log as required

  • Index images as needed

  • Identify potential subrogation claims and notify appropriate supervisor

Qualifications

  • Bachelor's degree

  • Demonstrate exceptional oral and written communication skills

  • Demonstrate functional understanding of basic medical terminology

  • Superior organizational skills and attention to detail

  • Evidence of self-motivation and requires general supervision

  • Possess creative problem solving skills

  • Ability to manage multiple priorities and coordinate tasks

  • Obtain license in jurisdiction as needed

Responsibilities Key Risk is looking for an enthusiastic professional who will be responsible for the management of medical only workers' compensation claims. Principle Responsibilities

  • Maintain good lines of communication with employers, adjusters, and providers

  • Discuss with an employer, issues relative to an injured workers' return to work status

  • Request medical notes, proper billing format, and other written/verbal information from employers and medical providers to determine appropriateness of payment of medical bills and whether a claim is truly medical only

  • Timely and accurately reserve for medical only claims assigned

  • Document relevant written and oral communication received relative to medical-only claims in the log notes

  • Discuss with an employee, issues relative to whether a bill has been paid or whether travel or medical reimbursement has been issued

  • Assist in the management of communication of the unit with customers, providers and injured employees

  • Enter medical notes into claim log as required

  • Index images as needed

  • Identify potential subrogation claims and notify appropriate supervisor

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Medical Only Claims Representative

W.R. Berkley Corporation