Licensed Medical Claims AdjusterVirtualVocations • Newark, Delaware, United States
Licensed Medical Claims Adjuster
VirtualVocations • Newark, Delaware, 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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