Utah-based, Remote, Exp. Medical Insurance Claims Representative (Similar to Examiner, Adjuster)

Remote Full-time
I am recruiting for a Utah, Remote, Business Medical Claims Representative for an 80-person, A-rated insurance company & think you may be a great fit.

(Similar job titles Casualty/Injury Claims Examiner, Adjuster)

You must be located in Utah or willing to relocate immediately or you will be rejected.

Why consider joining?
Ā• Stability with career advancement
Ā• Work-life balance: 8:30a-5p/7:30a-4p, or 4.5 days/wk. (no after-hour calls)
Ā• Manageable caseload (50-60 cases, not 100 )
Ā• Professionalism: No harassing calls from claimants, attorneys, or rental car companies
Ā• Total Annual Compensation: up to $115k (based on experience)

(base salary, annual bonus, monthly car, internet, phone allowance
Ā• Benefits: Insurance (85% employer-paid for employee dependents), FSA, 6% 401k match, PTO

Overview:
Ā• Start-to-finish, Manage & Investigate minimal to high-exposure medical claims
Ā• Work with a supervisor to close cases

Required:
Ā• Min. 1-3 yrs of complex Medical Malpractice, Casualty, or Bodily Injury claims experience
Ā• Detail-oriented, Strong organizational skills
Ā• Excellent communication & judgment
Ā• Self-starter, can work remotely
Ā• Valid driver's license, ability to travel 25%
Ā• Field experience (preferred)
Ā• Education Minimum: Completion of High-school or GED equivalent

Initial Claim Handling:
Ā• Take 1st notices, review instructions
Ā• Assess coverage
Ā• Select defense counsel
Ā• Make service provider & reserve recommendations
Ā• Prepare communication to insured & counsel
Ā• Report claims to regulatory bodies as needed

Manage Claim:
Ā• Organize & review medical records
Ā• Interview insured & claimants, summarize
Ā• Select consultants, attend depositions
Ā• Monitor reserves, prepare management reports
Ā• Evaluate settlement value, prepare for settlement
Ā• Enter data, review, pay bills

Claim Resolution:
Ā• Discuss settlement, obtain consent
Ā• Log trial dates, prepare Request for Authority
Ā• Prepare strategy, attend mediations, monitor trial
Ā• Close file after final payments, document

If this sounds like a great opportunity with a stable and growing company that promotes a work-life balance, you are encouraged to apply asap.

Job Type: Full-time

Pay: $85,000.00 - $115,000.00 per year

Benefits:
Ā• 401(k) matching
Ā• Dental insurance
Ā• Flexible spending account
Ā• Health insurance
Ā• Paid time off
Ā• Vision insurance
Ā• Work from home

Schedule:
Ā• Monday to Friday

Application Question(s):
Ā• How many years of Casualty, Bodily Injury, or Medical Malpractice Insurance do you have?
Ā• Are you a self-starter who is comfortable working remote?
Ā• Do you attend trials and mediations?
Ā• Do you have a valid driver's license and active car insurance?

Work Location: On the road

Apply Now

Apply Now

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