Senior Workers' Comp Claims Specialist

State of Missouri; Jefferson City (MO); Sur place; USD 52 000 - 70 000; Plein temps

Résumé du poste

State of Missouri is seeking a mid-level claims professional focused on workers’ compensation. You will work to support injured state employees, coordinating with workers, medical and legal professionals, insurers, and agencies to process claims efficiently.

The role emphasizes accurate calculations, review of medical documents, and ensuring compliant and timely benefit processing while maintaining confidentiality and integrity in all files.

Qualifications

• Bachelor's degree or technical experience in underwriting or administration of workers' compensation or related claims.
• Education can be substituted for experience.

Responsabilités

• Correspond with injured workers and employers.
• Calculate workers' compensation benefits.
• Review medical files and documents.
• Ensure authorized treatment in relation to an injury and approve medical bills.
• Respond to attorney requests.
• Ensure files are kept secure and confidential.
• Monitor medications of injured workers and work with pharmacy network.
• Utilize the Early Return to Work Program.

Connaissances

Claims handling

Customer service

Interpersonal communication

Mathematical calculations

Data interpretation

Formation

Bachelor's degree

Description du poste

State of Missouri is seeking a mid-level claims professional focused on workers’ compensation. You will work to support injured state employees, coordinating with workers, medical and legal professionals, insurers, and agencies to process claims efficiently.

The role emphasizes accurate calculations, review of medical documents, and ensuring compliant and timely benefit processing while maintaining confidentiality and integrity in all files.