Medical Only Adjuster (Georgia)

AcrisureSummerville, GA
Onsite

About The Position

The Medical Only Adjuster role involves thoroughly investigating claims, managing medical issues, and ensuring timely and appropriate medical payments. This position requires close collaboration with the Team Manager to identify potential issues and maintain accurate, up-to-date claim files. The role also necessitates becoming proficient with workers’ compensation statutes for assigned states and successfully passing any required licensing tests.

Requirements

  • Successfully pass tests in states where they are required for license
  • Complete required ongoing education credits to maintain license
  • Attend training and become proficient with workers’ compensation statutes for the states that you have been assigned
  • Strong oral and written communication skills
  • Strong analytical skills and attention to detail
  • Time management skills and demonstrated ability to manage multiple priorities with accuracy and efficiency
  • Ability to provide professional and friendly customer service
  • Proficient knowledge of Microsoft Office suite

Nice To Haves

  • Excellent oral and written communication
  • PC literate, including Microsoft Office products
  • Strong organizational skills
  • Efficient time management skills
  • Ability to work in a team environment
  • Strong interpersonal and skills
  • Ability to meet or exceed Performance Competencies
  • Can determine what next steps are required and proactively respond
  • Able to multitask in various systems and/or programs

Responsibilities

  • Investigate claims thoroughly, including coverage and identifying subrogation.
  • Manage medical issues and schedule timely appointments.
  • Work closely with Team Manager to identify red flags.
  • Consistently keep claim files documented and updated.
  • Ensure that all medical payments are issued timely and appropriately.

Benefits

  • Comprehensive medical insurance
  • dental insurance
  • vision insurance
  • life and disability insurance
  • fertility benefits
  • wellness resources
  • paid sick time
  • Generous paid time off and holidays
  • Employee Assistance Program (EAP)
  • complimentary Calm app subscription
  • Immediate vesting in a 401(k) plan
  • Health Savings Account (HSA) and Flexible Spending Account (FSA) options
  • commuter benefits
  • employee discount programs
  • Paid maternity leave
  • paid paternity leave (including for adoptive parents)
  • legal plan options
  • pet insurance coverage
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