Encova Insurance is seeking a Medical Only Claims Specialist for Workers' Compensation to manage medical-only claims and ensure timely and effective claims processing. Candidates with experience in Workers' Compensation claims handling, especially in Illinois or Michigan, are preferred
Job Summary
The Medical Only Claims Specialist, Workers’ Compensation manages a high frequency desk, which includes primarily medical only claims.
The position’s objective is to provide superior service in a cost-effective manner to achieve best possible outcomes as well as proactively collaborate across the enterprise to ensure alignment of objectives and foster continuous improvement.
In addition to a competitive compensation package, we offer a comprehensive benefits package designed to support the well-being and growth of our associates.
Matching Summary
Match Score: 85
Encova Insurance is seeking a Medical Only Claims Specialist for Workers' Compensation to manage medical-only claims and ensure timely and effective claims processing. Candidates with experience in Workers' Compensation claims handling, especially in Illinois or Michigan, are preferred.
Salary
$49,225.00 - $78,759.00 annually; Bonus; Benefits
Skills & Requirements
Must-have
Workers' Compensation claims handling
Medical only claims management
Investigate and determine compensability
Manage benefit eligibility
Subrogation recovery identification
Proactive reserving behaviors
Nice-to-have
Superior service delivery
Cost-effective claim management
Proactive enterprise collaboration
Continuous improvement focus
Human relation skills
Key Requirements
One year of experience in insurance, customer service, claims investigation, legal, rehabilitation, or medical claims processing
Workers' compensation claims experience and licensure preferred
Must pass claims adjuster license exam(s) within 6 months
Multiple state claims management experience preferred