Medical Claims Investigator (Hybrid)

Crawford & Company; Tampa (FL); Hybrid; USD 34,000 - 61,000; Full time

Benefits offered by this job

Medical, Dental and Vision Plans

401(k) Retirement Plan

Paid Holidays, Vacation and Sick Leave

Tuition Assistance

Paid Parental Leave

Job summary

Crawford & Company in Tampa, FL, is seeking a Full-Time Administrative Claims Support professional to administer and resolve non-complex short-term claims of low monetary amounts. The role involves documenting, monitoring open cases and making decisions within delegated authority.

Responsibilities include investigating claims, verifying policy coverage, reserving, reviewing medical reports, and approving payments up to $2,500 when authorized.

Qualifications

• Knowledge of claims processing and terminology.
• Effective and diplomatic communication skills.
• Customer-focused approach and ability to interact with others.

Responsibilities

• Investigates claims to confirm coverage and liability, working with claimants and medical professionals.
• Verifies policy coverage and sets appropriate reserve levels.
• Identifies wage loss and wage exposure on medical claims.

Skills

Claims knowledge

Communication skills

Customer service

Education

College degree or equivalent

Associate in Claim designation

Job description

Crawford & Company in Tampa, FL, is seeking a Full-Time Administrative Claims Support professional to administer and resolve non-complex short-term claims of low monetary amounts. The role involves documenting, monitoring open cases and making decisions within delegated authority.

Responsibilities include investigating claims, verifying policy coverage, reserving, reviewing medical reports, and approving payments up to $2,500 when authorized.