• Medical Only Claims Representative

    Job Locations US-NC-Greensboro | US-NC-Charlotte
    Job ID
    2018-1459
    # of Openings
    1
    Department
    Claims
  • Overview

    Key Risk, a member of Berkley Insurance Company, is a leading provider of workers compensation insurance products and services for employers throughout the eastern United States. With a sole focus on workers compensation, Key Risk works with Key Alliance agents, insurance clients, self-insured employers, and the injured workers they support to create solutions specific to their needs. Enriching each client's risk management strategies, Key Risk creates and executes comprehensive solutions proven to protect people, support business, and exceed expectations.

     

    Committed to delivering better outcomes and industry leading service, Key Risk operates from headquarters in Greensboro, NC and through regional offices and territory-dedicated staff in the states of Pennsylvania, Maryland, Virginia, North Carolina, South Carolina, Tennessee, Alabama and Georgia. This regional approach provides agents and clients with the benefit of working with experts who have first-hand knowledge of the local workers compensation market.

     

    Key Risk is committed to fostering a professional work environment for all its employees. Through an ongoing commitment to innovation, continuous improvement and education, Key Risk attracts and retains associates with a unique blend of workers compensation expertise and a passion for excellence. We are proud to have been recognized among Business Insurance's Best Places to Work in 2009, 2011, 2015, and most recently in 2017.

    Responsibilities

    PRIMARY PURPOSE: 

    Responsible for the management of medical only workers’ compensation claims.

     

    PRINCIPLE RESPONSIBILITIES/DUTIES:

    • Maintain good lines of communication with employers, adjusters, and providers.
    • Discuss with an employer, issues relative to an injured workers’ return to work status.
    • Request medical notes, proper billing format and other written and verbal information from employers and medical providers to determine appropriateness of payment of medical bills and whether a claim is truly medical only.
    • Timely and accurately reserve for medical only claims assigned.
    • Document relevant written and oral communication received relative to medical-only claims in the log notes.
    • Discuss with an employee, issues relative to whether a bill has been paid or whether travel or medical reimbursement has been issued.
    • Assist in the management of communication of the unit with customers, providers and injured employees.
    • Enter medical notes into claim log as required.
    • Index images as needed.
    • Identify potential subrogation claims and notify appropriate supervisor.
    • Other duties as assigned by Supervisor.

     

     

    Qualifications

    • Possess a two (2) year college degree or equivalent work experience. Four year college degree highly desired.  Course work in business law and insurance is desirable.
    • Position could be located in either our Greensboro, NC or Charlotte, NC office.

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