Workers’ Compensation Medical Only Claim Representative

Ccmsi • Overland Park, KS

1d • Hybrid

About The Position

The Medical Only Claim Representative is responsible for the handling of designated medical‑only workers’ compensation claims for multiple accounts across Kansas and Missouri. This role manages a high‑volume, low‑complexity caseload and plays a key role in supporting injured workers, medical providers, and internal claim teams by ensuring timely medical coordination, accurate documentation, and responsive communication. The position involves frequent phone interaction, detailed data entry, and ongoing follow‑up to support compliant and efficient claim outcomes in accordance with corporate claim standards and applicable laws. This role is well suited for organized, detail‑oriented individuals who are comfortable multitasking in a fast‑paced environment and may serve as a training position for future advancement into higher‑level claim roles.

Requirements

• Associate Degree or two (2) years of related business experience
• Strong organizational skills with the ability to multitask in a high-volume environment
• Comfort working on the phone and communicating with external parties on occasion
• Ability to type and work efficiently on a computer
• Proficiency with Microsoft Office applications including Word, Excel, and Outlook
• Reliable, predictable attendance during assigned business hours

Nice To Haves

• Knowledge of medical terminology
• Prior experience in a claims, medical, or administrative support role
• Experience supporting multiple accounts or clients simultaneously
• Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required.

Responsibilities

• Set up and manage medical-only claim files in accordance with corporate claim standards and applicable laws
• Establish reserves and provide reserve recommendations within established authority levels under direct supervision
• Review and approve medical and miscellaneous invoices for designated claims; negotiate disputed bills or invoices under direct supervision
• Request and monitor medical treatment in accordance with corporate claim handling standards
• Summarize correspondence and medical records in claim system notes and appropriately file documentation
• Close claim files when appropriate and retrieve closed files for re-filing as requested
• Provide administrative and claim processing support to claim staff and client service teams
• Communicate with providers, claimants, and internal partners as needed; frequent phone work is required
• Maintain accurate diaries, documentation, and compliance with special client handling instructions

Benefits

• 4 weeks (Paid time off that accrues throughout the year in accordance with company policy) + 10 paid holidays in your first year
• Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance
• Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP)
• Career growth: Internal training and advancement opportunities
• Culture: A supportive, team-based work environment

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree