Medical Claims Specialist

3 weeks ago


Brea, California, United States Crawford & Company Full time
Job Summary

As a Medical Claims Consultant at Crawford & Company, you will play a vital role in processing medical only claims within authority. You will work under direct supervision to process claims, approve payments, and verify coverage. Your attention to detail and excellent communication skills will enable you to effectively interact with insureds, claimants, and medical providers.

Key Responsibilities
  • Process medical only claims within authority
  • Approve payments and claimant reimbursements on lost time disability claims
  • Verify coverage on claims by following normal coverage confirmation procedures
  • Review and update data into a computerized system
  • Consult with other departments and business units
  • Document receipt and contents of medical reports
  • Process claims where all medical issues have been settled

Requirements
  • Two or more years of experience as a Claim Clerk or the equivalent
  • Thorough knowledge of computer entry and operations
  • Working knowledge of claim processing and claim policies and procedures
  • Understanding of basic medical terminology and appropriate medical tests for claimed conditions

About Us
Crawford & Company is a global leader in claims management and outsourcing. We are committed to helping our clients manage risk and recover from loss. Our team is dedicated to providing exceptional service and support to our clients and customers.

Why Join Us
At Crawford & Company, we offer a dynamic and supportive work environment. We are committed to the growth and development of our employees and offer opportunities for advancement and professional growth. We also offer a competitive compensation and benefits package, including pay and incentive plans, benefit programs, and training programs.

How to Apply
Interested candidates should submit their resume and cover letter to [insert contact information].

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