Medical Claims Examiner

2 weeks ago


Calabasas, California, United States Great American Insurance Company Full time
About the Role

We are seeking a highly skilled Medical Only Claims Adjuster to join our team at Republic Indemnity Company of America. As a key member of our Claims department, you will be responsible for processing and managing large volumes of claims, ensuring timely and accurate resolution of medical only claims.

Key Responsibilities
  • Organize and prioritize assigned work to meet deadlines and ensure efficient claims processing.
  • Compose, prepare, and review correspondence, including letters, emails, and reports.
  • Respond to inquiries and gather information from various sources, including policyholders, brokers, and medical providers.
  • Perform mail/file functions, including sorting, distributing, and maintaining documents according to record retention guidelines.
  • Update claims files and maintain accurate data using office technology.
  • Collaborate with Claims staff to set up appointments, keep records, and perform routine follow-up.
  • Provide support to the Claims department in areas requiring specialized skills or knowledge.
Requirements

To be successful in this role, you will need:

  • A high school diploma or equivalent.
  • 4-6 years of related experience in claims processing, insurance, or a related field.
About Us

Republic Indemnity Company of America is a leading provider of workers' compensation insurance in the western United States. We are committed to delivering exceptional service and support to our policyholders, brokers, and employees. Our team is dedicated to fostering a culture of inclusivity, diversity, and excellence.

What We Offer

We offer a competitive salary range of $27.50-$32.50, as well as a comprehensive benefits package, including medical, dental, vision, paid time off, and a 401(k) plan. Our Total Rewards package is designed to support your overall well-being and career growth.


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