On-Site Workers’ Comp Claims Adjuster – Missouri

Enlyte; Jefferson City (MO); On-site; USD 21,000 - 28,000; Full time

Job summary

Enlyte in Jefferson City, Missouri, is seeking a full-time, on-site Adjuster to support the state of Missouri as a contracted employee. The role requires handling workers’ compensation claims, coordinating medical referrals, and ensuring timely payment of benefits while maintaining careful documentation.

You will review records, communicate with injured workers, and assist with scheduling examinations and benefit calculations consistent with state guidelines.

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 review benefits and obtain additional information
• Calculating benefits with accuracy and maintaining appropriate 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

Fast-paced environment

Claims experience

Customer service

Multitasking

Education

High School diploma or equivlant

Job description

Enlyte in Jefferson City, Missouri, is seeking a full-time, on-site Adjuster to support the state of Missouri as a contracted employee. The role requires handling workers’ compensation claims, coordinating medical referrals, and ensuring timely payment of benefits while maintaining careful documentation.

You will review records, communicate with injured workers, and assist with scheduling examinations and benefit calculations consistent with state guidelines.