On-Site Workers' Comp Claims Specialist – Missouri

Genex Services, LLC; Jefferson City (MO); On-site; USD 20,000 - 28,000; Full time

Job summary

Enlyte is hiring a full-time, on-site adjuster in Jefferson City, Missouri, contracted with the state. You will review and investigate workers’ compensation claims, coordinate medical referrals, and support injured workers through examinations and benefit processing.

The role emphasizes timely communication, accurate benefit calculations, and strict adherence to state procedures. This is an on-site, contracted position with competitive hourly pay based on skills and experience.

Qualifications

• High School diploma or equivlant.
• Experience in a fast-pace, 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

Customer service

Attention to detail

Time management

Empathy

Communication

Education

High School diploma or equivlant.

Job description

Enlyte is hiring a full-time, on-site adjuster in Jefferson City, Missouri, contracted with the state. You will review and investigate workers’ compensation claims, coordinate medical referrals, and support injured workers through examinations and benefit processing.

The role emphasizes timely communication, accurate benefit calculations, and strict adherence to state procedures. This is an on-site, contracted position with competitive hourly pay based on skills and experience.