Medical Only Claims Associate

4 days ago


Prairieville, United States LoCA Full time
Job DescriptionJob Description

Louisiana Claims Administrators (LoCA) is seeking a dedicated and detail-oriented Medical Only Claims Associate to join our team. The ideal candidate will be responsible for managing Medical Only Claims under the direction and training of Senior Workers' Compensation Claims Adjusters while pursuing a Louisiana WC Adjuster license.  This position will lead to a licenses position as a Workers' Compensation Claims Adjuster.    

Key Responsibilities:

  • Study for and pursue a Louisiana Workers' Compensation Claims Adjuster license within the first 3 to 6 months of employment. 
  • Learn how to review and process medical-only workers' compensation claims in accordance with state regulations and company policies.
  • Communicate with claimants, medical providers, and employers to gather necessary information and documentation.
  • Learn how to evaluate medical reports and bills to determine the appropriateness of treatment and related expenses.
  • Maintain accurate and up-to-date claim files and documentation.
  • Provide timely updates and status reports to clients and management.
  • Collaborate with team members to ensure efficient and effective claims handling.
  • Identify potential subrogation opportunities and coordinate recovery efforts.

Qualifications:

  • High school diploma or equivalent
  • Associate or bachelor's degree in a related field preferred 
  • Minimum of 2 years of experience in insurance or medical offices preferred 
  • Excellent communication and interpersonal skills.
  • Detail-oriented with strong organizational and time management abilities.
  • Proficient in Microsoft Office Suite
  • Ability to work independently and as part of a team.

Benefits:

  • Opportunities for professional development and advancement.
  • Supportive and collaborative work environment.

How to Apply: Interested candidates should submit their resume and cover letter to contact@locaclaims.com.  

Company DescriptionOur team of highly experienced claims professionals is dedicated to serving self-insured entities, self-insured groups, and insurance companies through third-party claims administration, risk management/loss control, and independent adjusting.

At LoCA, our clients trust us to develop flexible processes and procedures tailored to their unique needs. We are known for our responsiveness, accessibility, open communication, and accountability for our actions, which has resulted in a 100% retention rate among our clients.

Our mission at LoCA is to be the premier claim service company that transforms the way insurance companies and self-insured entities respond, prevent, reduce, control, and resolve their legal liability while maintaining common goals and interests.

We uphold the core values of putting principle before profit, under promising, and overdelivering, maintaining high ethical standards, promoting work-life balance for our employees, pursuing personal and professional growth, taking ownership of actions, treating others with respect and empathy, and judging people based on performance rather than personal traits.Company DescriptionOur team of highly experienced claims professionals is dedicated to serving self-insured entities, self-insured groups, and insurance companies through third-party claims administration, risk management/loss control, and independent adjusting.\r
\r
At LoCA, our clients trust us to develop flexible processes and procedures tailored to their unique needs. We are known for our responsiveness, accessibility, open communication, and accountability for our actions, which has resulted in a 100% retention rate among our clients.\r
\r
Our mission at LoCA is to be the premier claim service company that transforms the way insurance companies and self-insured entities respond, prevent, reduce, control, and resolve their legal liability while maintaining common goals and interests.\r
\r
We uphold the core values of putting principle before profit, under promising, and overdelivering, maintaining high ethical standards, promoting work-life balance for our employees, pursuing personal and professional growth, taking ownership of actions, treating others with respect and empathy, and judging people based on performance rather than personal traits.

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