Medical Claims Processor

3 weeks ago

New Haven CT, United States Comptech Associates Full time

Job Title: Claims Examiner-Lost Time Location: New Haven, CT (Onsite)
Duration: 3+ Months (CTH)

3+ years of Workers’ Compensation Lost Time Claim Examiner or Commensurate Experience (Having experience in workers’ compensation is not a requirement, but a nice thing to have, as long as the skills they do have are transferable.)

Technical Skills & Competencies:
Lost Time Claim Examiner position with prior experience in workers’ compensation as a medical only examiner, or commensurate examiner experience in paralegal, short-term / long-term disability, auto personal injury protection / medical injury, general liability or as a claim technical assistant for lost time claims.
Requires knowledge of workers’ compensation statutes, regulations and compliance.
Ability to incorporate data analytics and modeling into daily activities to expedite fair and equitable resolution of claims and claim issues.
Exceptional customer service and focus.
Ability to openly collaborate with leadership and peers to accomplish goals.
Demonstrates a commitment to a career in claims.
Exceptional time management and multi-tasking capabilities with consistent follow through to meet deadlines.
Use analytical skills to find mutually beneficial solutions to claim and customer issues.
Ability to prepare and make exceptional presentations to internal and external customers.
Conscientious about the quality and professionalism of work product and relationships with co-workers and clients.
Willing to take ownership and tackle obstacles to meet Client's quality standards for service, investigation, reserving, inventory management, teamwork, and diversity appreciation.
Superior verbal and written communication skills.

Experience, Education & Requirements:
Experience working in a customer-focused, fast-paced, fluid environment
Experience utilizing strong communication and telephonic skills
Prior experience requiring a high level of organization, follow-up, and accountability
Prior workers’ compensation claim handling experience is a plus, but not required
Familiarity with claim handling (healthcare, short-term/long-term disability, auto personal injury protection / medical injury, or general liability) is a plus but not required
Prior insurance, legal or corporate business experience is a plus but not required
AIC, RMA, or CPCU completed coursework or designation(s) is a plus but not required
Proficiency with Microsoft Office Products
Knowledge of medical terminology is a plus but not required
Knowledge of bill processing is a plus but not required
Claim Adjuster licenses in Connecticut, New Hampshire, Rhode Island and Vermont, are necessary; however, they are not required at the time of posting for the position. - If you do not already have one, you will be required to obtain an applicable resident or designated home state adjusters license and possibly additional state licensure

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