Senior Claims Investigator (Medical & Liability)

Crawford; Boise (ID); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Medical, Dental and Vision Plans

401(k) Retirement Plan

Paid Holidays, Vacation and Sick Leave

Tuition Assistance

Paid Parental Leave

Enhanced Mental Health Support

Job summary

Crawford & Company in Boise, Idaho, seeks a Senior Administrative Support to administer and resolve non-complex short-term medical claims, document inventory, and close files timely. You will make decisions within delegated authority and collaborate with claimants and medical professionals.

The role requires a college degree or equivalent, knowledge of claims terminology, and strong communication. Licensing and ongoing education are expected as part of maintaining credentials.

Qualifications

• College degree or the equivalent of education and experience.
• Thorough working knowledge of claim processing and policies.
• Understanding medical terminology and tests relevant to claims.

Responsibilities

• Investigates and resolves non-complex short-term medical claims.
• Verifies policy coverage and establishes reserves as needed.
• Documents medical reports and communicates with claimants and medical professionals.
• Approves payments on medical bills up to $2,500 after compensability.
• Ensures timely reporting and file closure within authority.

Skills

Knowledge of claims

Communication skills

Customer-focused approach

Interpersonal skills

Education

Bachelor's degree or equivalent

Associate in Claim designation

Job description

Crawford & Company in Boise, Idaho, seeks a Senior Administrative Support to administer and resolve non-complex short-term medical claims, document inventory, and close files timely. You will make decisions within delegated authority and collaborate with claimants and medical professionals.

The role requires a college degree or equivalent, knowledge of claims terminology, and strong communication. Licensing and ongoing education are expected as part of maintaining credentials.