On-Site Workers' Comp Claims Specialist

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

Job summary

Genex Service LLC on-site Workers Compensation Adjuster in Jefferson City, Missouri, is a regular full-time role supporting Missouri's workers' compensation program. This on-site position involves investigating claims, coordinating medical referrals, scheduling examinations and ensuring timely benefit payments.

Responsibilities include reviewing medical records, communicating with injured workers, calculating benefits, and maintaining case documentation while adhering to state procedures.

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

Claims experience

Fast-paced environment

Multitasking

Education

High School diploma or equivlant

Job description

Genex Service LLC on-site Workers Compensation Adjuster in Jefferson City, Missouri, is a regular full-time role supporting Missouri's workers' compensation program. This on-site position involves investigating claims, coordinating medical referrals, scheduling examinations and ensuring timely benefit payments.

Responsibilities include reviewing medical records, communicating with injured workers, calculating benefits, and maintaining case documentation while adhering to state procedures.