Medical Only Claims Adjuster

Company Name:
ER Family of Companies
The Schaumburg, IL location of our national client has an immediate need for a Work Comp Medical Only Claims Examiner for a long term temporary assignment.



The Medical Only Claims Examiner investigates claims to determine an injured workers entitlement to Workers Compensation medical benefits; Administers medical benefits for valid Workers Compensation claims; Manages a caseload of claims from inception to closing.



Duties:
Completes 3-point contact on new claims within 24 hours in order to obtain information necessary to make a compensability decision on the claim

Establishes appropriate reserve levels based on financial exposure and updates reserves upon receipt of new information

Annotates, categorizes and addresses incoming mail on a daily basis.

Responding to questions and requests from the client.

Required Skills:

Ability to prioritize multiple tasks and meet deadlines
Excellent written and verbal skills
Excellent customer service skills



Knowledge:



Workers Compensation law, policies and procedures
Medical terminology
Integration with Medicare



EDUCATION:


BS / BA or Equivalent Work Experience preferred



EXPERIENCE:


2 to 5 years experience

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