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Medical Only Adjuster

3 months ago

Saint Charles, United States IPMG Full time
Job DescriptionJob Description

Join Insurance Program Managers Group (IPMG) and become part of a dynamic team committed to innovation in insurance For the past 25 years, our mission has been to create one-of-a-kind insurance solutions for our partners. We bring proactive and tailored approaches to our clients, valuing the unique contribution of each team member. Together, we shape our identity and drive transformative change for our clients

Position Summary: We are seeking a skilled Workers’ Compensation Medical Claims Adjuster to join our team. In this role, you will efficiently manage medical-only claims, communicate with relevant parties, and coordinate subrogation efforts. Responsibilities include evaluating claims, calculating medical costs, providing status updates, and maintaining organized records. If you have at least one year workers’ compensation experience, or six months of medical terminology experience, and thrive in a dynamic environment, we encourage you to apply

What you will work on:

  • Coordinates review, evaluation and processing of workers’ compensation medical only claims
  • Initiates contact with employers, injured employees, doctors and other parties
  • Obtains and reviews medical records and claim related correspondences and determines appropriate action for each case.
  • Recognize clients that participate in the coordinated occupational health program structures and request and obtain the medical authorizations forms.
  • Calculates medical and treatment costs bring claim to a close.
  • Establishes initial and on-going reserves for medical costs and authorizes or denies payments.
  • Provides information to clients, claimants, doctors and others regarding the status of claims.
  • Coordinates workers’ compensation subrogation by determining if subrogation should be pursued, collects and reviews all necessary documentation, contacts all appropriate parties and pursues any third-party recoveries.
  • Complete all applicable Navrisk screens.
  • Maintains files notes in accordance with established procedures, maintains timely diary management and claim closing goals.

What we would like you to join us with:

Six months to a year experience with medical terminology or medical office support work is required.

1–3 years prior Medical Only Adjuster experience is preferred.

Strong communication skills and be able to work and communicate well with clients and injured parties.

Commitment to providing outstanding service.

Above average listening, reading and writing skills.

Strong at interpretation of information gained on a claim and make sound claim decisions.

Effective time management skills

Overall computer proficiency including expertise in Microsoft Office Suite, especially Outlook, Word, and Excel

Travel:

Occasional travel to clients, our headquarter office in St. Charles, IL for meetings and training, and meeting our business partners. Valid driver's license is required.

Pay will be based on experience. Position is full-time, exempt. $55,000 to $62,000

Core Hours

8:30 a.m. to 5:00 p.m. Monday through Friday. The current flex hours for this position will be 8:00 a.m. to 5:00 p.m. Monday through Thursday and 8:30 a.m. to 3:00 p.m. on Friday. We work 37.5 hours each week to maintain full-time status. Occasional evening and weekend work may be required as essential functions demand. This is a hybrid position with 2 to 3 days in our St. Charles office.

OUR INTERVIEW PROCESS

May we suggest you review our website ahead of our contact at www.IPMG.com and check us out on LinkedIn too to see what we are up to lately. Our goal is to meet the real YOU We want to learn what makes you tick and how you want to grow in your field. And we will share more about IPMG answer any of your questions. If we feel we have a match you will have a chat with our hiring manager to discuss the technical nature of the position to ensure you have the skills needed to be a success.

IPMG has some generous benefits we want to tell you about. Here is some of our benefits and perks:

  • 20 days of PTO each year
  • 12 Holidays, 2 floating days of your choice and YOUR BDAY off
  • Medical, dental and vision coverage on day one of full-time employment
  • Telemedicine is free for you and your family (day one) if you are covered under our medical plan.
  • 401k match
  • Professional development support
  • Flexible time off with an encouraged minimum time away to support a healthy work-life balance.
  • Life Insurance, Short term, and long-term disability on day one of full-time employment
  • Onsite fitness center and showers, in our St. Charles, IL HQ office

ALL ABOUT IPMG

IPMG is committed to a diverse and inclusive workplace. IPMG is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, religion, or other legally protected status.

Candidates that are selected and hired will need to submit to substance, credit, and criminal background screenings, and computer literacy testing. IPMG is an Equal Opportunity Employer—M/F/D/V