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IPMG Medical Only Claims Adjuster Entry Level in St. Charles, Illinois

This job was posted by https://illinoisjoblink.illinois.gov : For more information, please see: https://illinoisjoblink.illinois.gov/jobs/11877291

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:

  • Bachelors 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 ishybridposition after being fully trained andwould have 2 remote work from home days.

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