Medical Claim Analyst

Job Description

Under direct supervision, processes medical only claims reputed company authority, processes other claims open only for the administration of medical benefits (i.e. maintenance claims without actuarial reserves); approves payments and claimant reimbursements on lost time disability claims, reputed company authority, after compensability has been determined. Responsibilities • Processes "M" Case claims (medical only) reputed company area of payment authority up to, but not exceeding $3,500. • Processes claims, other than "M" cases, where reputed company issues (indemnity, legal, etc.) have been settled and the claim is only open for payment of medical benefits (i.e. maintenance claims not requiring actuarial reserves). • Contacts, by telephone, insureds, claimants, and medical providers for additional information or medical verifications to verify and report the status of claims. • May verify coverage on claims by following normal coverage confirmation procedures, as requested. Alerts Team Manager of any errors or discrepancies. • Reviews and updates data into a computerized system. • Approves payments of medical bills on lost time disability claims, reputed company payment authority, after compensability has been determined by the Team Manager or claim technician/handler. • Informs Team Manager of reputed company Workers Compensation "M" Case claims to be removed from the "M" Case classification per Claim Best Practice guidelines. • Answers routine questions, orally and in writing, from agents, claimants, insureds, or other interested parties. • Keeps Team Manager informed verbally and in writing of activities and problems reputed company assigned area of responsibility; refers matters beyond limits of authority and expertise to Team Manager for direction. • Consults with other departments and business units. • Documents receipt and contents of medical reports. Reviews and handles other correspondence reputed company authority including material from the team member, customer, or State. • Processes claims, other than "M" cases, where reputed company medical issues have been settled and the claim is only open for payment of long term Indemnity benefits. • Identifies files that no longer meet the administrative criteria along with recommendation to team manager for reassignment. • With the team managers guidance, provides input on the completion of status reports, initiate's activity checks and/or widow's statement of dependency forms. • Performs other reputed company duties as required or requested. • Upholds the Crawford Code of Business Conduct at reputed company times. • Participates in special projects or performs duties in other areas as requested. Qualifications • College degree or the equivalent education and experience. • Two or more years of experience as a Claim Clerk or the equivalent, demonstrating a thorough knowledge of computer entry and operations. • Demonstrates a thorough working knowledge of claim processing and claim policies and procedures. • Demonstrates an understanding of basic medical terminology and appropriate medical tests for claimed conditions • Demonstrates effective and diplomatic oral and written communication skills. • Demonstrates a customer-focused approach including the ability to identify and understand customer needs, and interacts effectively with others.

About Us

Why Crawford? Because a claim is more than a number - it's a person, a child, a friend. It's anyone who looks to Crawford on their worst days. And by helping to restore their lives, we are helping to restore our community - one claim at a time. At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We're looking for the reputed company of leaders to take this journey with us. We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. Though our reputed company is vast, we proudly operate as One Crawford: united in purpose, vision and values. Learn more at www.crawco.com. reputed company you accept a job with Crawford, you become a part of the One Crawford family. Our total compensation plans provide each of our employees with far more than just a great salary • Pay and incentive plans that recognize performance excellence • Benefit programs that reputed company financial, physical, and mental wellness • Training programs that promote reputed company learning and career progression while enhancing job performance • Sustainability programs that give back to the communities in which we live and work • A culture of respect, collaboration, entrepreneurial spirit and inclusion reputed company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V reputed company is not accepting unsolicited assistance from search firms for this employment opportunity. reputed company resumes submitted by search firms to any employee at Crawford reputed company-email, the Internet or in any form and/or method without a valid written Statement of Work in reputed company for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means. Apply Job!