Claims Adjustor

Job Description

Job Description

We are looking for a dedicated Claims Adjustor to join our team on a contract basis in Des Moines, Iowa. In this role, you will handle medical-only workers' compensation claims, ensuring accuracy and prompt processing. This position requires excellent customer service skills and attention to detail to effectively manage a low volume of daily calls and claims.

Responsibilities :

• Review workers' compensation claims to ensure compliance with medical and insurance standards.
• Process medical-only claims accurately and in a timely manner.
• Communicate with customers to address inquiries and provide exceptional service.
• Collaborate with team members to maintain organized and efficient claim workflows.
• Handle medical billing and insurance claim documentation with precision.
• Monitor and manage medical denials and appeals to resolve issues.
• Support hospital billing processes and ensure proper claim handling.
• Maintain detailed records for claims and related communications.
• Identify discrepancies in claim submissions and take corrective actions.
• Provide regular updates and reports on claim processing activities.
• At least 1 year of experience in medical billing, insurance claims, or a related field.
• Strong knowledge of medical collections and workers' compensation processes.
• Familiarity with medical denials and appeals procedures.
• Experience in hospital billing and insurance claims management.
• Excellent customer service skills with the ability to handle inquiries effectively.
• Strong organizational abilities and attention to detail.
• Ability to manage low volumes of calls (10-20 daily) while maintaining productivity.
• Proficiency in handling medical billing systems and related tools.