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Licensed Medical Claims Adjuster
Licensed Medical Claims AdjusterVirtualVocations • Saint Louis, Missouri, United States
Licensed Medical Claims Adjuster

Licensed Medical Claims Adjuster

VirtualVocations • Saint Louis, Missouri, United States
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A company is looking for a Medical Only Workers' Compensation Adjuster.

Key Responsibilities

Determine coverage eligibility and investigate claims by interviewing involved parties

Manage medical only claims, ensuring timely payment of appropriate medical bills

Deny claims that do not meet compensability criteria and defend those decisions when challenged

Required Qualifications

Six years of experience in adjudicating medical only claims or related fields

High School diploma or GED; Bachelor's degree preferred

Must possess a strong understanding of insurance operations and business acumen

Licensed Claims Examiner or ability to obtain a license within 120 days

Proficiency in MS Office Suite and other business-related software

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Claim • Saint Louis, Missouri, United States

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