On-Site Missouri Workers' Compensation Claims Adjuster

Enlyte; Jefferson City (MO); Hybrid; USD 2,066,000 - 2,755,000; Full time

Benefits offered by this job

Medical

Dental

Vision

Health Savings Accounts / Flexible Sp.

Life and AD&D Insurance

401(k)

Tuition Reimbursement

Job summary

Enlyte in Jefferson City, Missouri, is seeking an on-site, full-time adjuster for a state-contracted role. You will review and investigate workers' compensation claims, assist with medical referrals, monitor treatment, and process benefits in a timely manner.

Qualifications include a high school diploma, experience in busy environments, and customer service skills. Base pay ranges from $14.75 to $20.00 per hour, with benefits such as Medical, Dental, Vision, 401(k) and Tuition Reimbursement;

Qualifications

• High School diploma or equivlant.
• Experience in a fast-paced, production environment.
• Claims experience preferred
• Customer Service experience in a transaction based environment such as a call center or retail location preferred, demonstrating ability to be empathetic and compassionate.
• Demonstrated ability to handle multiple assignments competently, accurately and efficiently.

Responsibilities

• Reviewing and investigating claims necessary to process under workers' compensation;
• Reviewing injury reports to determine appropriate medical referrals;
• Assisting injured State of Missouri workers in scheduling and arranging medical examinations;
• Monitoring treatment and processing payment of benefits
• Reviewing medical records and bills for casual relationship, reasonableness, and authorized treatment and then processing for payment within three weeks of receipt of bill and/or documentation
• Contact injured State of Missouri workers within four business days of case assignment, in order to reviewbenefits and obtain additional information
• Calculating benefits with accuracy and maintainingappropriate reserves in accordance with procedures established by the state agency;
• Reviewing medical records, documenting files, and providing copies for the Missouri Assistant Attorney General within two weeks of receipt;
• Ensuring temporary modified duty work slips are documented and provided to the state agency within 24 hours of receipt, to meet the established Early Return to Work program objectives
• Position entails working on site with State of Missouri as a contracted employee.

Skills

Customer service

Multitasking

Empathy

Education

High School diploma or equivlant.

Job description

Enlyte in Jefferson City, Missouri, is seeking an on-site, full-time adjuster for a state-contracted role. You will review and investigate workers' compensation claims, assist with medical referrals, monitor treatment, and process benefits in a timely manner.

Qualifications include a high school diploma, experience in busy environments, and customer service skills. Base pay ranges from $14.75 to $20.00 per hour, with benefits such as Medical, Dental, Vision, 401(k) and Tuition Reimbursement;