Temp Worker’s Comp Cost Disputes Specialist (Onsite)

Vinsys Information Technology Inc; Madison (WI); On-site; USD 25,000 - 39,000; Full time

Job summary

Wisconsin Department of Workforce Development Worker s Compensation Division is seeking a temporary Program Assistant 2 to support healthcare cost disputes and treatment-necessity reviews related to workers’ compensation claims. The role involves reviewing medical cost disputes, maintaining case documentation, and communicating with injured workers, employers, insurers, attorneys, and healthcare providers.

Proficiency with Excel and claims databases is preferred, along with strong analytical and

Qualifications

• Effective written and verbal communication with diverse stakeholders.
• Familiarity with dispute-resolution techniques and decision making.
• Ability to read, interpret, and apply statutes and agency rules.
• Experience with medical terminology and healthcare coding is a plus.

Responsibilities

• Review and analyze healthcare cost disputes for completeness.
• Verify disputes relate to active workers’ compensation claims.
• Enter and maintain dispute information in claims databases and health-cost systems.
• Obtain supporting information from employers, carriers, and medical providers.
• Calculate appropriate medical payment amounts and draft orders.

Skills

Communication skills

Customer service

Investigation

Analytical skills

Reading statutes

Medical terminology

Data entry

Team collaboration

Tools

Excel

Databases

Claims databases

Job description

Wisconsin Department of Workforce Development Worker s Compensation Division is seeking a temporary Program Assistant 2 to support healthcare cost disputes and treatment-necessity reviews related to workers’ compensation claims. The role involves reviewing medical cost disputes, maintaining case documentation, and communicating with injured workers, employers, insurers, attorneys, and healthcare providers.

Proficiency with Excel and claims databases is preferred, along with strong analytical and