CCMSI is looking for a Medical Only Claim Adjuster to handle designated medical only claims and provide support to claim staff, ensuring quality claim services within corporate standards.
Requirements
- Proficient using Microsoft Office products such as Word, Excel, Outlook
- AZ adjusters license required
- Knowledge of medical terminology preferred.
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.
Other
- Associate Degree or two (2) year's related business experience required
- Work requires the ability to stoop, bend, reach and grab with arms and hands, manual dexterity
- Work requires the ability to sit or stand up to 7.5 or more hours at a time
- Work requires sufficient auditory and visual acuity to interact with others
- CCMSI does not provide visa sponsorship for this position.
