Job Description
I am recruiting for a Utah, Remote, Business Medical Claims Representative for an 80-person, A-rated insurance company & think you may be a great fit.
(Similar job titles Casualty/Injury Claims Examiner, Adjuster)
You must be located in Utah or willing to relocate immediately or you will be rejected.
Why consider joining?
Ā Stability with career advancement
Ā Work-life balance: 8:30a-5p/7:30a-4p, or 4.5 days/wk. (no after-hour calls)
Ā Manageable caseload (50-60 cases, not 100 )
Ā Professionalism: No harassing calls from claimants, attorneys, or rental car companies
Ā Total Annual Compensation: up to $115k (based on experience)
(base salary, annual bonus, monthly car, internet, phone allowance
Ā Benefits: Insurance (85% employer-paid for employee dependents), FSA, 6% 401k match, PTO
Overview:
Ā Start-to-finish, Manage & Investigate minimal to high-exposure medical claims
Ā Work with a supervisor to close cases
Required:
Ā Min. 1-3 yrs of complex Medical Malpractice, Casualty, or Bodily Injury claims experience
Ā Detail-oriented, Strong organizational skills
Ā Excellent communication & judgment
Ā Self-starter, can work remotely
Ā Valid driver's license, ability to travel 25%
Ā Field experience (preferred)
Ā Education Minimum: Completion of High-school or GED equivalent
Initial Claim Handling:
Ā Take 1st notices, review instructions
Ā Assess coverage
Ā Select defense counsel
Ā Make service provider & reserve recommendations
Ā Prepare communication to insured & counsel
Ā Report claims to regulatory bodies as needed
Manage Claim:
Ā Organize & review medical records
Ā Interview insured & claimants, summarize
Ā Select consultants, attend depositions
Ā Monitor reserves, prepare management reports
Ā Evaluate settlement value, prepare for settlement
Ā Enter data, review, pay bills
Claim Resolution:
Ā Discuss settlement, obtain consent
Ā Log trial dates, prepare Request for Authority
Ā Prepare strategy, attend mediations, monitor trial
Ā Close file after final payments, document
If this sounds like a great opportunity with a stable and growing company that promotes a work-life balance, you are encouraged to apply asap.
Job Type: Full-time
Pay: $85,000.00 - $115,000.00 per year
Benefits:
Ā 401(k) matching
Ā Dental insurance
Ā Flexible spending account
Ā Health insurance
Ā Paid time off
Ā Vision insurance
Ā Work from home
Schedule:
Ā Monday to Friday
Application Question(s):
Ā How many years of Casualty, Bodily Injury, or Medical Malpractice Insurance do you have?
Ā Are you a self-starter who is comfortable working remote?
Ā Do you attend trials and mediations?
Ā Do you have a valid driver's license and active car insurance?
Work Location: On the road
Apply Now