Medical Pay Rep

Full Time
Detroit, MI
Posted
Job description
Medical Pay Rep
Job Number : 202565

As a claims adjuster on our team, you’ll work closely with customers, attorneys, and medical providers while making adjustments to medical claims. Ideal candidates for this role will possess medical knowledge and investigative skills, which will be useful while analyzing the cause of injury, the potential for fraud, along with coverage and liability. Additionally, you’ll perform policy research and interpret medical records to ensure payment accuracy.
Duties & Responsibilities
  • Identify and address wage exposures on medical claims
  • Review and research wage loss expenses and documentation for payment consideration
  • Review and interpret policy language when receiving a subrogation demand to determine if reimbursement is owed
Must-have qualifications
  • Two or more years of college education or relevant work experience
  • Work or educational experience must include:
  • Customer service, sales and/or influencing others
  • Fast paced and changing environment
  • Multitasking and time management skills
  • Effectively communicating verbally and in writing
  • Computer skills

Start Dates: 2/6//2022

Training Schedule: Monday - Friday 8:30 am to 5:30 pm EST

Schedule: Monday - Friday 11:00 am to 8:00 pm EST

Compensation

  • $22.50 - $24.00/hr
  • Gainshare bonus up to 16% of your eligible earnings based on company performance

Benefits

  • 401(k) with dollar-for-dollar company match up to 6%
  • Medical, dental & vision, including free preventative care
  • Wellness & mental health programs
  • Health care flexible spending accounts, health savings accounts, & life insurance
  • Paid time off
  • Paid & unpaid sick leave where applicable, as well as short & long-term disability
  • Parental & family leave; military leave & pay
  • Diverse, inclusive & welcoming culture with Employee Resource Groups
  • Career development & tuition assistance

Equal Opportunity Employer


Job : Claims
Primary Location : United States-Michigan-Detroit

Schedule : Full-time
Employee Status : Regular
Work From Home : Yes

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