Litigated Claims Specialist

DWP, IWP, and AWP Careers•Andover, MA

1d•$23 - $25

About The Position

Litigated Claims Specialist Working as part of the Claims Department, the Litigated Claims Specialist lends expertise in the laws, regulations, and jurisdictional statutes to identify or resolve disputed claims, assuring effective reimbursement. What You’ll Do Investigate/rectify partial payments from claims in litigation Secure payment on outstanding invoices Investigate claim that are in litigation Assess current and ongoing risk of continued medications service in relation to ongoing litigation Research and act upon information obtained Interact and communicate daily with other departments Communicate with external sources such as attorneys and adjusters Obtain medical documentation to facilitate/warrant collections Analyze information and data for resolution Participate and develop special processes/procedures to better the Litigated Claims Team Special projects as designated by manager What You'll Need to Succeed 2+ years Workers Compensation knowledge Bachelor’s Degree or equivalent related experience Familiar with medical terminology Knowledge of databases and MS Office (Excel & Word) Knowledge of IWP reimbursement process and procedures Make A Difference With IWP Injured Workers Pharmacy (IWP) is proud to be THE Patient Advocate Pharmacy, helping injured workers around the country access their prescription medications with ease. As a specialized workers’ compensation home delivery pharmacy, we collaborate with the legal, medical, and insurance communities to help injured workers return to a productive life. At IWP we believe in our service, but it’s the people who make it a great place to work. We value our employees and strive for a culture of teambuilding, open mindedness, and fun. If that sounds like something you’d like to be part of, we’d love to hear from you! Your compensation will include a competitive salary, generous benefits, and opportunities for growth and development. IWP is an Equal Opportunity Employer. IWP does not discriminate on the basis of race, creed, color, religion, national origin, sex, sexual orientation, gender identity, age, physical or mental disability, or any other basis covered by appropriate law. All employment decisions are made on the basis of qualifications, merit, and business need. IWP is committed to providing reasonable accommodations for qualified individuals with physical and mental disabilities in our job application procedures. If you need assistance or an accommodation due to a disability, you may contact us at [email protected] We will make a determination on your request for reasonable accommodation on a case-by-case basis. We are dedicated to attracting and retaining top talent with competitive and fair compensation. The salary range for this role is $23/hr - $25/hr.

Requirements

2+ years Workers Compensation knowledge
Bachelor’s Degree or equivalent related experience
Familiar with medical terminology
Knowledge of databases and MS Office (Excel & Word)
Knowledge of IWP reimbursement process and procedures

Responsibilities

Investigate/rectify partial payments from claims in litigation
Secure payment on outstanding invoices
Investigate claim that are in litigation
Assess current and ongoing risk of continued medications service in relation to ongoing litigation
Research and act upon information obtained
Interact and communicate daily with other departments
Communicate with external sources such as attorneys and adjusters
Obtain medical documentation to facilitate/warrant collections
Analyze information and data for resolution
Participate and develop special processes/procedures to better the Litigated Claims Team
Special projects as designated by manager