Claims Adjuster - Medical Only (Entry Level)
About The Position
Join Insurance Program Managers Group (IPMG) and become part of a dynamic team committed to innovation in insurance! For the past 25 years, our mission has been to create one-of-a-kind insurance solutions for our partners. We bring proactive and tailored approaches to our clients, valuing the unique contribution of each team member. Together, we shape our identity and drive transformative change for our clients. Selected candidates will train with our seasoned team where you will have training exposure to all key departments within our insurance organization. This is an exciting 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.
Requirements
- Bachelor’s 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 skills.
- Great customer service skills
- Detail oriented and flexible in working with various service plan structures.
- Ability to travel approximately 10% travel for mediations, file reviews, and trials.
Nice To Haves
- A related degree in insurance or other insurance-related courses is a plus.
- Insurance designations are not mandatory but are a plus.
Responsibilities
- 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.
Benefits
- 20 days of PTO each year
- 12 Holidays, 2 floating days of your choice and YOUR BDAY off!
- Medical, dental and vision coverage on day one of full-time employment
- Telemedicine is free for you and your family (day one) if you are covered under our medical plan.
- 401k match
- Professional development support
- Flexible time off with an encouraged minimum time away to support a healthy work-life balance.
- Life Insurance, Short term, and long-term disability on day one of full-time employment
- Onsite fitness center and showers, in our St. Charles, IL HQ office
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Number of Employees
101-250 employees
