Claims Associate Medical only Examiner 1454008

Phoenix StaffingPhoenix, AZ, US

1 day ago

Job type

Full-time

Job description

Claims Associate Medical

Adecco is currently assisting a client in their search to fill Claims Associate Medical positions located in Remote Phoenix, AZ 85029. Job Title : Claims Associate Medical. Location : Phoenix, AZ 85029 (Remote). Payrate : $22.00. 1st Shift : 8 AM - 4 : 30 PM M-F.

Primary Purpose : To analyze reported lower-level workers compensation claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices.

Essential Functions and Responsibilities :

Adjusts medical-only claims and minor lost-time workers compensation claims under close supervision.
Supports other claims representatives, examiners and leads with larger or more complex claims as necessary.
Processes workers compensation claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state agency.
Communicates claim action / processing with claimant, client and appropriate medical contact.
Ensures claim files are properly documented, and claims coding is correct.
May process routine payments and prescriptions and status reports for lifetime medical claims and / or defined period medical claims.
Maintains professional client relationships.

Additional Functions and Responsibilities :

Performs other duties as assigned.

Supports the organization's quality program(s).

Qualification :

Education & Licensing : High school diploma or GED required. Licenses as required.

Experience : One (1) year of general office experience or equivalent combination of education and experience required. Claims industry experience preferred.

Skills & Knowledge : Excellent oral and written communication skills. PC literate, including Microsoft Office products. Analytical and interpretive skills. Strong organizational skills. Good interpersonal skills. Ability to work in a team environment. Ability to meet or exceed Performance Competencies.

Work Environment :

Mental : Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.

Physical : Computer keyboarding, travel as required.

Auditory / Visual : Hearing, vision and talking.

Apply Today to be considered for this Claims Associate Medical job and any other positions with Adecco. Pay Details : $22.00 per hour Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Equal Opportunity Employer / Veterans / Disabled. To read our Candidate Privacy Information Statement, please navigate to https : / / uat.adecco.com / en-us / candidate-privacy.

The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and / or security clearance requirements, including, as applicable : The California Fair Chance Act, Los Angeles City Fair Chance Ordinance, Los Angeles County Fair Chance Ordinance for Employers, San Francisco Fair Chance Ordinance.

Massachusetts Candidates Only : It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Create a job alert for this search

Medical Only Examiner • Phoenix, AZ, US