Job Details
Claims Adjuster- Medical Pay **Job Number**
: 186794 As a **claims adjuster** on our team, youll work closely with customers, attorneys, and medical providers while making adjustments to medical claims. Ideal candidates for this role will possess medical knowledge and investigative skills, which will be useful while analyzing the cause of injury, the potential for fraud, along with coverage and liability. Additionally, youll perform policy research and interpret medical records to ensure payment accuracy. This is a remote position where youll be able to work from the comfort of your home.
**Duties & Responsibilities**
* Identify and address wage exposures on medical claims
* Review and research wage loss expenses and documentation for payment consideration
* Review and interpret policy language when receiving a subrogation demand to determine if reimbursement is owed
**Must-have qualifications**
* Two or more years of college education or relevant work experience
* Work or educational experience must include:
+ Customer service, sales and/or influencing others
+ Fast paced and changing environment
+ Multitasking and time management skills
+ Effective communication both verbal and in writing
+ Computer skills
**Start Dates:** 3/7/2022
**Training Schedule:** Monday - Friday 8:30am to 5:30pm
**Schedule:** Monday - Friday 11am to 8pm
**Location:** Must reside in the state of South Carolina
**Compensation**
* $21.50-$23.00/hour
* Gainshare bonus up to 16% of your eligible earnings based on company performance
* An additional 10% when you work evening or weekend hours
**Benefits**
* 401(k) with dollar-for-dollar company match up to 6%
* Medical, dental & vision, including free preventative care
* Wellness & mental health programs
* Health care flexible spending accounts, health savings accounts, & life insurance
* Paid time off
* Paid & unpaid sick leave where applicable, as well as short & long-term disability
* Parental & family leave; military leave & pay
* Diverse, inclusive & welcoming culture with Employee Resource Groups
* Career development & tuition assistance
* Onsite gym & healthcare at large locations
Equal Opportunity Employer
**Primary Location**
: United States-South Carolina-Columbia