Workers’ Compensation Claims Representative - Fresno, CA
Insurance Relief•Fresno, CA
•Hybrid
About The Position
Join a well-established insurance agency with a 30-year legacy and a powerful commitment to ethical, honest insurance solutions. They are actively seeking an experienced Workers' Compensation Claims Representative! You will drive success by investigating and evaluating claims, expediting payments, and ensuring proper documentation. Grow your expertise with a team ready to invest in your long-term professional development.
Requirements
- 3-5+ years of experience in workers' compensation claims
- Knowledge of Worker’s Compensation guidelines, Medicare coding, and compliance obligations.
- Microsoft Office and other database management systems
Nice To Haves
- Certifications as a Workers Compensation Claims Administrative (WCCA) and Workers Compensation Claims Professional (WCCP) are preferred but not required
Responsibilities
- Assisting with new claims from opening until satisfactory completion, evidence, and fact-gathering surrounding claims
- Ensuring claims coding is true and accurate
- Claim files must be accurately recorded in the system
- Assuring all claims have a workable plan of action
- Reviewing billing summaries
- Identifying any signs of fraud and making proper referrals for further investigation
- Pursue subrogation when necessary and offer superior customer service to all parties involved
Benefits
- Comprehensive benefits package including Medical, Dental, and Vision insurance
- 401(k) plan
- Generous Paid Time Off (PTO) and paid company holidays
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
