Multi State Medical Only Claims Specialist

AdventHealth

ALTAMONTE SPRINGS, Florida, US
Base: $49,718.59 - $92,468.74; bonus/equity: not s...
Review claims over 120 days
Investigate work-related injury claims
Determine compensability
Joining AdventHealth is about being part of something bigger, a community that believes in the wholeness of each person and serves to uplift others in body, mind and spirit

Job Summary

  • Joining AdventHealth is about being part of something bigger, a community that believes in the wholeness of each person and serves to uplift others in body, mind and spirit.
  • Responsibilities include reviewing claims over 120 days, conducting thorough investigations of work-related injury claims, and determining compensability within 14 calendar days.
  • AdventHealth offers benefits from Day One, including Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance, Paid Time Off, and a 403-B Retirement Plan.

Matching Summary

Joining AdventHealth is about being part of something bigger, a community that believes in the wholeness of each person and serves to uplift others in body, mind and spirit.

Salary

Base: $49,718.59 - $92,468.74; Bonus/Equity: Not specified; Benefits: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance, Paid Time Off, 403-B Retirement Plan

Skills & Requirements

Must-have

  • Review claims over 120 days
  • Investigate work-related injury claims
  • Determine compensability
  • Manage medical treatment authorization
  • Approve or deny medical bills
  • Investigate subrogation potential

Nice-to-have

  • Belonging to a community
  • Uplift others in body, mind and spirit
  • Grow spiritually
  • Whole Person Well-being Resources

Key Requirements

  • 2+ years workers compensation claims experience
  • 6-20 All-Lines Adjuster License
  • High School Grad or Equiv
  • Origami, Riskmaster, Microsoft Office Suite, Mitchell and AWPRx software

Work Rights

Not specified

Tailored Resume

Cover Letter