General Description: Adjust non lost-time claims for workers compensation

Role can be worked in Bedford, NH, Woburn, MA OR Chicopee, MA.

Responsibilities:

Knowledge of claims function and processes. Ability to effectively communicate with internal and external customers. Understanding of workers compensation or disability claims management, strategies, resolution techniques and adjusting. Technical/administrative capability to enter first reports of injury and to adjust non lost time claims utilizing the features of the TPA claim management systems. Participates in claim advocacy and negotiation, including claim denials, reserving files, and claim reporting, issuing payments and filing of state forms. Determine compensability of the claim as it relates to the worker compensation jurisdiction. Review and approval of medical services to be paid of the claims file.

Knowledge, Skills and Abilities:

Ideal candidate will have a minimum of 1 year of claims administration experience.Some previous insurance experience/knowledge. College degree preferred but high school diploma or graduate equivalent degree required. Proficient in MS Office suite of products. Strong written and oral communication skills. Ability to work well in a team environment. Must have a capacity for analytical thinking and strong problem-solving skills. Strong organizational skills required.
$42,000-49,500
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