We are looking to hire a motivated Worker's Comp Claim Specialist to join our productive team at Sheakley Group, Inc in Ohio.
Growing your career as a Full Time Worker's Comp Claim Specialist is a fantastic opportunity to develop competitive skills.
If you are strong in problem-solving, cooperation and have the right personality for the job, then apply for the position of Worker's Comp Claim Specialist at Sheakley Group, Inc today!
Description: The Claim Review Specialist II provides timely, concise, and accurate decision making abilities. They have a proven record of excellent customer service. As a valued member of our team you will receive:
Competitive Pay The ability to work remotely or in our corporate Advancement & promotion opportunities internally Health, dental, vision, and life insurance Additional insurance options: Critical Illness, Long Term, Short Term Disability, Accidental Death and Dismemberment, Employee Assistance Program, Legal Shield 401(k) savings plan with match after 1 year Continuous professional training and development 8 Paid Holidays Paid Vacation and PTO available Employee focused culture with appreciation events all year Employee referral bonus Qualifications: Knowledge and skills at a level normally acquired through the completion of High School education or equivalent. Ability to handle sensitive information and maintain a high level of confidentiality. Proficiency in Microsoft Office products including Word, Excel, Outlook, etc. Medical Terminology or equivalent experience. Previous customer service experience. Principal Duties & Responsibilities: Reports directly to the Claim Review Specialist Team Leader. Enter and process initial claims in system, complete initial and/or follow-up calls to employer, provider, IW, and BWC as appropriate while documenting the results of gathered information. Additionally, responsible for complete follow-up on claims, resulting in transition to the Return to Work Specialist or case closure as appropriate, including gathering any additional information on RTW, missing claims master fields, continued treatment, etc. Gather complete information on all mandatory system field requirements to ensure accurate transmission to the BWC. Gather all initial and subsequent medical documentation necessary to process potential claim updates. Assist in identifying RAW and Onsite Therapy candidates where appropriate. Proactive claims management, early RTW intervention, and transfer of claims to Return to Work Specialist for continued RTW management when appropriate or to Case Management. Assists other Claim Review Specialists on the team. Answering incoming and making outgoing phone calls. Provide excellent customer service to all internal and external customers. Required to meet team quality and productivity standards. Maintain and develop teamwork within all departments of UniComp. Complete audit findings timely. Respond to external and internal e-mails within 1 business day of receipt unless otherwise specified. Other duties as assigned by Management. Maintain and exhibit Sheakley Core Values. Requirements: Attention to detail, flexibility, and strong ability to multi-task. Problem solving ability. Physical and Mental Demands: Ability to sit for prolonged period of time. Ability to answer high call volume while maintaining accurate system notes. This job description is not intended to be all inclusive and the employee will also perform other reasonably related business duties as assigned by the immediate supervisor and other management as required.
Benefits of working as a Worker's Comp Claim Specialist in Ohio:
? Excellent benefits
? Advancement opportunities
? Competitive salary
