Claims Specialist-WC

MedStar Health; Boise (ID); Remote; USD 45,000 - 60,000; Full time

Job summary

Une opportunité de travail à domicile pour un poste d'administrateur de sinistres au sein d'une société reconnue. La position exige des compétences en documentation et une connaissance approfondie des termes médicaux. Rejoignez une culture d'innovation, de croissance et d'engagement communautaire.

Benefits

Excellents avantages Crawford

Programme de bonus de référence employé généreux

Remises pour les employés multiples

Qualifications

• Connaissance de la terminologie médicale requise.
• Maintien de l'éducation continue.
• Compétences en documentation des sinistres.

Responsibilities

• Administrer et résoudre les revendications de faible montant.
• Documenter et surveiller l'inventaire des cas ouverts.
• Vérifier la couverture des polices et gérer la correspondance médicale.

Skills

Communication efficace

Connaissance des procédés de réclamation

Approche centrée sur le client

Education

Diplôme universitaire ou expérience équivalente

Job description

Great Work From Home Opportunity

• Candidates must reside in Idaho.
• Excellent Crawford Benefits
• Generous Employee Referral Bonus Program
• Multiple Employee Discounts

This position involves administering and resolving non-complex short-term claims of low monetary amounts, including medical-only claims. Responsibilities include documenting and monitoring open case inventory, making decisions within delegated authority, conducting investigations, verifying policy coverage, and handling medical reports and correspondence.

Qualifications include a college degree or equivalent experience, knowledge of claims processing, understanding of medical terminology, effective communication skills, and proper licensing as required by state law. The role also requires maintaining continuing education and a customer-focused approach.

Why choose Crawford? Because we believe each claim represents a person in need, and we are committed to restoring lives and supporting our community. We foster a culture of growth, innovation, and inclusion, with comprehensive compensation and benefits, ongoing training, and community engagement programs.

Learn more at www.crawco.com. Join us and become part of the One Crawford family.

Crawford & Company is an Equal Opportunity Employer and participates in E-Verify. We do not accept unsolicited resumes from search firms without a valid Statement of Work.