Remote Medical-Only Workers' Comp Adjuster (PA)

Cannon Cochran Management Services, Inc.; Pittsburgh (Allegheny County); Remote; USD 45,000 - 55,000; Full time

Benefits offered by this job

4 weeks PTO

Medical insurance

Dental insurance

Vision insurance

401(k) ESOP

Job summary

CCMSI is seeking a Medical Only Claim Representative to handle Pennsylvania Workers' Compensation medical-only claims in a remote setting. You will manage a high-volume portfolio, ensure accurate claim setup, coordinate medical treatment, and maintain detailed records.

The role emphasizes compliance, timely processing, and strong collaboration with internal partners. The ideal candidate has experience in workers' compensation, excellent organizational and communication skills, and the ability to

Qualifications

• Associate degree or two years of related business, insurance, healthcare, claims, customer service, or administrative experience.
• Knowledge of Pennsylvania Workers' Compensation claims or workers' compensation processes.
• Strong attention to detail and organization skills.
• Ability to manage a high-volume workload efficiently and accurately.
• Strong written and verbal communication skills.
• Ability to prioritize multiple tasks and deadlines.
• Proficiency with Microsoft Office applications including: Outlook, Word, Excel.
• Ability to work independently in a remote environment.
• Reliable attendance during established business hours.

Responsibilities

• Manage Pennsylvania Workers' Compensation medical-only claims from assignment through closure.
• Review claim information and supporting documentation to ensure accurate claim setup and handling.
• Coordinate and monitor medical treatment activities in accordance with claim handling standards.
• Review and process medical bills, invoices, and claim-related documentation.
• Maintain timely diary management and claim file documentation.
• Summarize medical records, correspondence, and claim activities within the claim system.
• Communicate with medical providers, employers, and internal claim partners as needed.
• Monitor claim activity and identify opportunities for closure or escalation.
• Assist claim staff with claim support activities and special projects.
• Maintain compliance with Pennsylvania Workers' Compensation regulations, Corporate Claim Standards, and client-specific handling instructions.
• Provide responsive service and support while maintaining quality and productivity expectations.

Skills

Attention to detail

Communication skills

Time management

Remote work

Attendance reliability

Education

Associate degree or 2 yrs related experience

Tools

Outlook

Word

Excel

Job description

CCMSI is seeking a Medical Only Claim Representative to handle Pennsylvania Workers' Compensation medical-only claims in a remote setting. You will manage a high-volume portfolio, ensure accurate claim setup, coordinate medical treatment, and maintain detailed records.

The role emphasizes compliance, timely processing, and strong collaboration with internal partners. The ideal candidate has experience in workers' compensation, excellent organizational and communication skills, and the ability to