Claims Resolution Specialist

DWP, IWP, and AWP Careers • Andover, MA

13h • $22 - $24 • Onsite

About The Position

We are seeking a high-energy, goal-oriented Claims Resolution Specialist to join our growing team in Andover, Massachusetts. Under general supervision, the Claims Resolution Specialist performs a variety of professional duties in support of IWP’s pharmacy services. This position is responsible for expediting payment from workers’ compensation insurance carriers, monitoring electronic billing rejections, and maintaining accounts receivable. This is a phone-based position, Monday through Friday, from 8:30 am to 5:00 pm.

Requirements

• An experienced customer service professional with the ability to work in a fast-paced group
• An investigative mind with outstanding attention to detail
• A professional demeanor with strong oral and written communication skills
• Proven experience generating and analyzing complex reports

Nice To Haves

• Workers’ compensation experience
• Knowledge of medical terminology
• Collections, claims processing, and subrogation experience
• Bilingual in Spanish (conversational and written)

Responsibilities

• Review, investigate, and analyze claims to maximize recovery
• Monitor electronic billing rejections and take appropriate action
• Ensure proper filing of invoices and monitor billing statuses less than 60 days outstanding
• Develop and maintain internal systems for data collection and entry, financial analysis, and report generation; create and update spreadsheets and logs as necessary
• Serve as a liaison between insurance carriers, pharmacy benefit managers, patients, and internal company divisions
• Negotiate settlements with insurance carriers within their granted settlement authority level as needed
• Pursue subrogation and arrange for salvage to obtain maximum recovery

Benefits

• Monthly engagement events and larger annual celebrations (tent party, summer BBQ, Family Fun Day)
• Tuition reimbursement and an internal-first job posting philosophy to support career growth
• Onsite fitness center, free parking, and a competitive benefits package
• A positive, inclusive environment where employees feel valued, supported, and empowered
• competitive salary
• generous benefits
• opportunities for growth and development

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed