Job Description

Job Description

Job Description

Salary: $45,000-$60,000 annual salary

JOB DESCRIPTION

The Medical Only Claims Adjuster with SteadPoint Risk Management Solutions is responsible for maintaining and handling
workers' compensation med-only claims by determining compensability, investigating with specific focus on acquisition of
recorded statements of claimant or witnesses, coordinating medical care, assigning legal counsel if deemed necessary, and
directing or coordinating workers' compensation benefits. The Claims Adjuster will focus on reserve practices, medical
terminology, communication, organization, and directing claim development from onset to conclusion or settlement.

JOB FUNCTION AND RESPONSIBILITIES

• Set up and manage medical files only in accordance with corporate claim standards and law.
• Establish reserves and/or provide reserve recommendations within established authority levels under direct supervision.
• Review and approve related medical and miscellaneous invoices on designated claims. Negotiate any disputed bills/invoices for resolution under direct supervision.
• Request and monitor medical treatment of designated claims in accordance with corporate claim standards.
• Summarize all correspondence and medical records in claim log notes as well as file same in the appropriate claim.
• Close claim files when appropriate.
• Retrieve closed claim files and re-file in storage, as requested.
• Provide support to claim staff on client service teams.
• Compliance with Company Standards and special client handling instructions as established.
• Performs other duties as assigned.
  

REQUIREMENTS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required.

• High school degree or Some college preferred or six to 12 months equivalent experience.
  
• Knowledge of medical terminology preferred.
• Computer Skills 
  • Proficient using Microsoft Office products such as Word, Excel, Outlook
• Certificates, Licenses, Registrations
  • Adjusters license may be required based upon jurisdiction.

Why SteadPoint? 

BENEFITS 

• HEALTH & DENTAL BCBS
  
• LONG-TERM DISABILITY
  
• TERM LIFE INSURANCE
  
• FITNESS REIMBURSEMENT
  
• GROWTH OPPORTUNITIES
• VSP VISION
  
• SHORT-TERM DISABILITY
  
• 401K MATCHTING
  
• COMPETITIVE PTO

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