Berkley

  • Med Only Claims Representative

    Location Name NC, Greensboro - 7823 National Service Road
    ID
    2018-1934
    Date Posted
    3 weeks ago(10/2/2018 3:38 PM)
    Company
    Berkley Key Risk Management
    Primary Location
    US-NC-Greensboro
    Category
    Claims
  • Company Details

    KR Logo

    Responsibilities

    PRINCIPLE RESPONSIBILITIES/DUTIES:

     

    1. Maintain good lines of communication with employers, adjusters, and providers.
    2. Discuss with an employer, issues relative to an injured workers’ return to work status.
    3. Request medical notes, proper billing format, and other written/verbal information from employers and medical providers to determine appropriateness of payment of medical bills and whether a claim is truly medical only.
    4. Timely and accurately reserve for medical only claims assigned.
    5. Document relevant written and oral communication received relative to medical-only claims in the log notes.
    6. Discuss with an employee, issues relative to whether a bill has been paid or whether travel or medical reimbursement has been issued.
    7. Assist in the management of communication of the unit with customers, providers and injured employees.
    8. Enter medical notes into claim log as required.
    9. Index images as needed.
    10. Identify potential subrogation claims and notify appropriate supervisor.
    11. Other duties as assigned by Supervisor.

    Qualifications

    1. Possess a college degree or equivalent work experience. Course work in business law and insurance is desirable.
    2. Demonstrate exceptional oral and written communication skills.
    3. Demonstrate functional understanding of basic medical terminology.
    4. Superior organizational skills and attention to detail.
    5. Evidence of self-motivation and requires general supervision.
    6. Possess creative problem solving skills.
    7. Ability to manage multiple priorities and coordinate tasks.
    8. Obtain license in jurisdiction as needed.

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