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Workers' Compensation Medical Only Claims Adjuster

Work from home Full-time role Hiring

Workers’ Compensation Medical Only Claims Adjuster (Hybrid) South Denver Metro Area organization is seeking a professional, detail-oriented and dependable person to manage medical-only workers' compensation claims. This role is ideal for someone with experience in worker’s compensation medical only insurance claims, who enjoys helping people and managing details in a fast-paced environment. Salary Range $52K-60K with excellent benefits and paid parking. Email resume to [email protected]. Duties and Responsibilities: Investigate and manage medical-only workers' compensation claims. Communicate with county employers, injured workers, and medical providers regarding claim details. Review medical documentation and authorize treatment as appropriate. Process medical bills and ensure payments comply with state fee schedules and regulations. Establish and maintain claim reserves. Monitor claims for changes that may require referral to an indemnity adjuster. Maintain accurate electronic claim files and claim notes. Perform additional claims-related duties as assigned. Qualifications: High School Diploma or GED required; Associate's or Bachelor's Degree preferred. 1-2 years of experience in worker’s compensation medical only claims handling (lost time experience helpful) Strong communication and customer service skills. Solid computer skills, including Microsoft Office and database systems. Excellent attention to detail and organizational abilities. Knowledge of medical terminology and ICD-10 coding is a plus. This hybrid position offers an opportunity to work in a supportive environment while developing expertise in workers' compensation claims management. Pay: $52,000.00 - $60,000.00 per year Benefits 401(k) Dental insurance Flexible spending account Health insurance Life insurance Paid time off Retirement plan Tuition reimbursement Vision insurance Work from home Experience: Workers' compensation medical only claims handling: 1 year (Required) Work Location: Hybrid remote in Lone Tree, CO 80124

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