Medical Only Claims Adjuster Entry Level

at IPMG in St. Charles, Illinois, United States

Job Description

This is an entry-level position for ideal undergraduates who have recently achieved a degree in business. A related degree in insurance or other insurance-related courses is a plus. This is a fantastic opportunity to start in the insurance industry and grow with a dynamic insurance company.

FOR THIS POSITION, WE WOULD LIKE YOU TO JOIN US WITH:

• Bachelor’s degree in business
• Knowledge of common software programs such as Microsoft Office and Excel
• Excellent verbal and written communication skills to complete internal and external reports
• Strong cost-benefit analysis, decision making, and organizational
• Great customer service skills
• Detail oriented and flexible in working with various service plan
• Ability to travel approximately 10% travel for mediations, file reviews, and
• Insurance designations are not mandatory but are a

WHAT YOU WILL ALSO WORK ON:

• Coordinates review, evaluation and processing of workers’ compensation medical only claims
• Initiates contact with employers, injured employees, doctors and other parties.
• Obtains and reviews medical records and claim related correspondences and determines appropriate action for each case.
• Recognize clients that participate in the coordinated occupational health program structures and request and obtain the medical authorizations forms.
• Calculates medical and treatment costs bring claim to a close.
• Establishes initial and on-going reserves for medical costs and authorizes or denies payments.
• Provides information to clients, claimants, doctors and others regarding the status of claims.
• Coordinates workers’ compensation subrogation by determining if subrogation should be pursued, collects and reviews all necessary documentation, contacts all appropriate parties and pursues any third-party recoveries.
• Complete all applicable Navrisk screens.
• Maintains files notes in accordance with established procedures, maintains timely diary management and claim closing goals.

THE DETAILS

CORE HOURS

8:30 a.m. to 5:00 p.m. Monday through Friday. Occasional evening and weekend work may be required as essential -functions demand. This is a hybrid position after being fully trained – in the office on Tuesday and Wednesday and remote the rest of the week.

SALARY RANGE

$48,000 to $50,000. Pay will be based on experience. The position is full-time, non-exempt.

Core Hours - 8:00 a.m. to 5:00 p.m. Monday through Thursday. Then Friday 8:30 a.m. to 3 p.m.  Occasional evening and weekend work may be required as essential -functions demand. This is hybrid position after being fully trained and would have 2 remote work from home days.