Senior Medical Claims Representative – Workers Compensation

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🔥 10 minutes ago

🦌 Connecticut, New Hampshire, +2 more states – Remote

🦌 Connecticut – Remote 🗻 New Hampshire – Remote 🏖️ New Jersey – Remote 🔔 Pennsylvania – Remote

💵 $65k - $75k / year

⏰ Full Time

🟠 Senior

📋 Claims Specialist

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Cisco

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1984

🔒 Cybersecurity

📡 Telecommunications

🏢 Enterprise

💰 $2.5M Series A on 1987-01

Cybersecurity • Telecommunications • Enterprise

Cisco is a leading technology company that provides products and services related to networking, cybersecurity, and communication technologies. The company is known for its wide range of solutions that include secure email gateway systems, URL filtering, and comprehensive network security measures. Cisco's offerings are designed to protect businesses from web-based threats, improve communication, and enforce corporate compliance and acceptable use policies. With a strong focus on innovation and security, Cisco caters to the needs of enterprises across various sectors worldwide.

📋 Description

• Investigate and manage all aspects of a medical only claim, maintaining phone/written contact with all necessary parties • Verify coverage, investigate, manage, and resolve medical only claims promptly and accurately • Authority to approve or deny payment of medical invoices, and determine case reserves, with up to $10,000 in reserve approval authority • Required to handle medical only claims in Maryland, New Jersey, and Pennsylvania with the largest volume of claims being Pennsylvania

🎯 Requirements

• At least 2 years of experience handling medical only claims is required • Prefer candidates have current license(s) to adjust workers’ compensation claims in Delaware, Connecticut, or New Hampshire or willingness to obtain same • Excellent communication skills required, in both written and verbal form • Must be able to work with accuracy and speed with a variety of internal and external contacts • Must be self-motivated as this is a work-from-home position • A high school diploma is required

🏖️ Benefits

• medical, dental, and vision coverage • wellness plans • parental leave • adoption assistance • tuition reimbursement • Paid Time Off • paid holidays • 401(k) plan with company match • employee stock purchase plan • commuter benefits