Talent.com
Claim Representative, Medical Only

Claim Representative, Medical Only

CCMSIPhoenix, AZ, US
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

Medical Only Workers' Compensation Claim Adjuster

Jumpstart Your Career as a Medical Only Workers' Compensation Claim Adjuster!

Location : Phoenix, Arizona

Work Hours : MondayFriday, 8 : 00 AM to 4 : 30 PM

Salary : $25.00 / hr-$29.00 / hr (Hourly) Schedule : HybridIn-office daily during training and then hybrid.

Note : Hybrid schedules may adjust based on performance and attendance.

At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding and recognizing individual and team efforts. Certified as a Great Place To Work, our employee satisfaction and retention ranks in the 95th percentile.

Reasons you should consider a career with CCMSI :

  • Culture : Our Core Values are embedded into our culture of how we treat our employees as a valued partner-with integrity, passion and enthusiasm.
  • Career development : CCMSI offers robust internships and internal training programs for advancement within our organization.
  • Benefits : Not only do our benefits include 4 weeks paid time off in your first year, plus 10 paid holidays, but they also include Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401K, and ESOP.
  • Work Environment : We believe in providing an environment where employees enjoy coming to work every day, are provided the resources needed to perform their job and claims staff are assigned manageable caseloads.

The Medical Only Claim Representative is responsible for claims handling of designated medical only claims and provide support to claim staff. This position may be used as a training position for consideration of promotion to an intermediate level claim position. Is accountable for the quality of claim services as perceived by CCMSI clients and within the corporate claim standards.

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 Corporate Claim Standards and special client handling instructions as established.
  • Performs other duties as assigned.
  • Qualifications

    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.

    Education and / or Experience

    Associate Degree or two (2) years related business experience required

    Knowledge of medical terminology preferred

    Computer Skills

    Proficient using Microsoft Office products such as Word, Excel, Outlook

    Certificates, Licenses, Registrations

    AZ adjusters license required

    Physical Demands

    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    Other Physical Demands

  • 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
  • CORE VALUES & PRINCIPLES

    Responsible for upholding the CCMSI Core Values & Principles which include : performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example.

    Compensation & Compliance

    The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay.

    CCMSI offers a comprehensive benefits package, which will be reviewed during the hiring process. Please contact our hiring team with any questions about compensation or benefits.

    Visa Sponsorship :

    CCMSI does not provide visa sponsorship for this position.

    ADA Accommodations :

    CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. If you need assistance or accommodation, please contact our team.

    Equal Opportunity Employer :

    CCMSI is an Affirmative Action / Equal Employment Opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment.

    serp_jobs.job_alerts.create_a_job

    Medical Representative • Phoenix, AZ, US

    Job_description.internal_linking.related_jobs
    • serp_jobs.job_card.promoted
    ESIS Senior Claims Representative, WC

    ESIS Senior Claims Representative, WC

    ChubbPhoenix, AZ, US
    serp_jobs.job_card.full_time
    Are you ready to make a meaningful impact in the world of workers' compensation? Join ESIS, a leader in risk management and insurance services, where your skills and talents can help us create safe...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Claims Representative

    Claims Representative

    Auto-Owners InsuranceMesa, AZ, US
    serp_jobs.job_card.full_time
    A career at Auto-Owners is challenging and rewarding.Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.We offer a me...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Field Claims Representative

    Field Claims Representative

    Auto-Owners InsuranceMesa, AZ, US
    serp_jobs.job_card.full_time
    A career at Auto-Owners is challenging and rewarding.Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.We offer a me...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    PA Licensed Inside Claims Representative

    PA Licensed Inside Claims Representative

    VirtualVocationsGilbert, Arizona, United States
    serp_jobs.job_card.full_time
    A company is looking for an Inside Claims Representative I.Key Responsibilities Investigates and adjudicates liability and property claims, ensuring compliance with state laws Establishes contac...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    ESIS Claims Representative, AGL

    ESIS Claims Representative, AGL

    ChubbPhoenix, AZ, US
    serp_jobs.job_card.full_time
    ESIS is seeking an Auto / General Liability Claims Representative to handle commercial claims for our client accounts.The Claims Representative under the direction of the Claims Team Leader, investig...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Claim Center Representative

    Claim Center Representative

    ChubbPhoenix, AZ, US
    serp_jobs.job_card.full_time
    As a Claim Center Representative in Operations, you will be part of a diverse team accountable for providing back-office support to NA Claims and contributing to the achievement of delivering an ex...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Workers Compensation Senior Claim Representative - Phoenix, AZ

    Workers Compensation Senior Claim Representative - Phoenix, AZ

    VetJobsPhoenix, AZ, US
    serp_jobs.job_card.permanent
    Workers Compensation Senior Claim Representative - Phoenix, AZ.Under general supervision, manage Workers' Compensation claims with lost time to conclusion and negotiate settlements where appropriat...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Illinois Licensed Claims Representative

    Illinois Licensed Claims Representative

    VirtualVocationsGilbert, Arizona, United States
    serp_jobs.job_card.full_time
    A company is looking for an Inside Claims Representative I.Key Responsibilities Investigates and adjudicates claims, ensuring compliance with statutory laws and maintaining accurate documentation...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Insurance Representative - LTC

    Insurance Representative - LTC

    VirtualVocationsGlendale, Arizona, United States
    serp_jobs.job_card.full_time
    A company is looking for an Insurance Representative - LTC - Remote.Key Responsibilities Process and monitor unpaid third-party insurance accounts for proper reimbursement Prepare and submit cla...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    California Licensed Claim Adjuster

    California Licensed Claim Adjuster

    VirtualVocationsScottsdale, Arizona, United States
    serp_jobs.job_card.full_time
    A company is looking for a Commercial General Liability Claim Adjuster.Key Responsibilities Negotiate and settle large exposure commercial general liability and property claims Prepare written s...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Claims Representative Liability-AZ or CA

    Claims Representative Liability-AZ or CA

    Sentry InsurancePhoenix, AZ, United States
    serp_jobs.job_card.full_time
    We're seeking a compassionate and skilled professional to support customers through the claims process with empathy and clarity. You'll investigate, evaluate, and resolve claims ranging from minor ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Job Claims Representative - Glendale, AZ

    Job Claims Representative - Glendale, AZ

    Federated Mutual InsuranceGlendale, AZ, US
    serp_jobs.job_card.temporary
    Federated Insurance Opportunity.At Federated Insurance, we do life-changing work, focused on our clients' success.For our employees, we provide tremendous opportunities for growth.Over 95% of them ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    FIeld Claims Representative

    FIeld Claims Representative

    Auto-Owners InsuranceMesa, AZ, US
    serp_jobs.job_card.full_time
    A career at Auto-Owners is challenging and rewarding.Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.Auto-Owners I...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Florida Licensed Claims Assistant

    Florida Licensed Claims Assistant

    VirtualVocationsPhoenix, Arizona, United States
    serp_jobs.job_card.full_time
    A company is looking for a Claims Assistant - Workers Compensation for Florida residents in a remote position.Key Responsibilities Set up and enter new claims into the claims management system P...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    Senior Consultant, Supplemental Health Claims

    Senior Consultant, Supplemental Health Claims

    VirtualVocationsChandler, Arizona, United States
    serp_jobs.job_card.full_time
    A company is looking for a Senior Consultant, Supplemental Health Claims.Key Responsibilities Process and adjudicate supplemental health insurance claims for accuracy and compliance Collaborate ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    ESIS Claims Representative, WC

    ESIS Claims Representative, WC

    ChubbPhoenix, AZ, US
    serp_jobs.job_card.full_time
    Focus on the core content of the job post, removing all extra metadata, navigation mentions, and redundant headers.Keep the formatting beautiful and high signal to noise ratio.serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Claims Associate - Medical Only Examiner - Remote / Telecommute

    Claims Associate - Medical Only Examiner - Remote / Telecommute

    Cynet SystemsPhoenix, AZ, US
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    Workers' Compensation Claims Adjuster.The Workers' Compensation Claims Adjuster will be responsible for adjusting medical-only claims and minor lost-time workers' compensation claims under close su...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    ESIS Senior Claims Representative, AGL

    ESIS Senior Claims Representative, AGL

    ChubbPhoenix, AZ, US
    serp_jobs.job_card.full_time
    ESIS is seeking an Auto / General Liability Claims Representative to handle commercial claims for our client accounts.The Claims Representative under the direction of the Claims Team Leader, investig...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours