On-site Workers Compensation Adjuster

Enlyte; Jefferson City (MO); Híbrido; USD 2.066.000 - 2.755.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical

Dental

Vision

Health Savings Accounts / Flexible Sp.

Life and AD&D Insurance

401(k)

Tuition Reimbursement

Descripción de la vacante

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;

Formación

• 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.

Responsabilidades

• 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.

Conocimientos

Customer service

Multitasking

Empathy

Educación

High School diploma or equivlant.

Descripción del empleo

Company Overview

At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services you'll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact. Join us in fueling our mission to protect dreams and restore lives, while building your career in an environment that values collaboration, innovation, and personal growth.

Be part of a team that makes a real difference.

Job Description

This is a full-time, ON-SITE position and is contracted with the state of Missouri.

Location: Jefferson City, Missouri

The adjuster shall understand and agree that the determination of a compensable injury will be the responsibility of the state agency. The adjuster's services, related to time lost or litigated claims shall include, at a minimum, the following:

• 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.

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.

Benefits

We're committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $14.75 - $20.00 hourly, and will be based on a number of additional factors including skills, experience, and education.

The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

Don't meet every single requirement? Studies have shown that women and underrepresented minorities are less likely to apply to jobs unless they meet every single qualification. We are dedicated to building a diverse, inclusive, and authentic workplace, so if you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this or other roles.

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