Medical Claims Representative

Cincinnati, OH 45202

Posted: 05/21/2020 Job Type: Administrative Pay Rate: $45K - $50K annually

Job Description

Job Description

We are pleased to present this exciting direct-hire opportunity with a well-respect global insurance organization!

The primary function of this role is to adjust assigned claims within delegated limits of authority, conduct timely and thorough investigations, and complete fair and equitable claim settlements. Responsibilities include:

  • Analyzing medical only workers' compensation claims to determine required investigation and handling
  • Identifying compensablity issues or questions of coverage in accordance with MSMM Claims Handling Guidelines
  • Conducting informed case analysis
  • Managing and negotiating timely and equitable claims payments and settlements
  • Maintaining case diary and appropriate documentation

Why this job?

  • Great opportunity for experience with a multi-national company
  • Downtown location with flex work allowance
  • Competitive pay
  • Benefits available immediately, no waiting period required


Job Type: Full-time

Salary: $45,000.00 to $50,000.00 /year

Job Requirements

  • 2+ years of industry experience, including ability to successfully verify coverage, appropriately establish reserves, complete investigations, and understand rules associated with state regulations
  • Ability to obtain appropriate state licenses within 6 months of employment
  • Excellent computer skills - knowledge of GuideWire and/or IVOS a plus
  • High school diploma or GED is required; college degree strongly preferred

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Precision Staffing

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