- Remote, United States
- Remote
- Competitive base pay
- 2+ years
Under direct supervision, processes medical only claims within authority, processes other claims open only for the administration of medical benefits, approves payments and claimant reimbursements on lost time disability claims, within authority, after compensability has been determined.
Responsibilities
- Processes "M" Case claims (medical only) within area of payment authority up to, but not exceeding $3,500.
- Processes claims, other than “M” cases, where all issues have been settled and the claim is only open for payment of medical benefits.
- Contacts insureds, claimants, and medical providers for additional information or medical verifications.
- Verifies coverage on claims by following normal coverage confirmation procedures.
- Alerts Team Manager of any errors or discrepancies.
Requirements
- College degree or the equivalent education and experience