Workers' Comp Claims Adjustor

Company Overview

The Enlyte Family of Businesses

Mitchell | Genex | Coventry

Enlyte is the parent brand of Mitchell, Genex and Coventry, an organization unlike any other in the Property & Casualty industry, bringing together three great businesses with a shared vision of using technology innovation, clinical services and network solutions to help our customers and the people they serve. Our suite of products and services enable our employees to help people recover from challenging life events, while providing opportunities for meaningful impact and career growth.

Job Description

This is a full-time, on-site opening. and is contracted with the state of Missouri.

Perks : Full and comprehensive benefits program, 24 days of paid vacation / holidays in your first year plus sick days, home office equipment including laptop and desktop monitor, Employee Assistance and Referral Program.

The Tech shall provide the claims adjusting services listed below, related to time lost claims, as directed by the state agency. The Tech shall understand and agree that the determination of a compensable injury will be the responsibility of the state agency. The Tech's services, related to time lost or litigated claims shall include, at a minimum, the following :

Reviewing and investigating claims necessary to process under workers' compensation;

• Reviewing injury reports to determine appropriate medical referrals;
• Assisting injured State of Missouri workers in scheduling and arranging medical examinations;
• Monitoring treatment and processing payment of benefits
• Reviewing medical records and bills for casual relationship, reasonableness, and authorized treatment and then processing for payment within three weeks of receipt of bill and / or documentation
• Contact injured State of Missouri workers within four business days of case assignment, in order to review benefits and obtain additional information
• Calculating benefits with accuracy and maintaining appropriate reserves in accordance with procedures established by the state agency;
• Reviewing medical records, documenting files, and providing copies for the Missouri Assistant Attorney General within two weeks of receipt;
• Ensuring temporary modified duty work slips are documented and provided to the state agency within 24 hours of receipt, to meet the established Early Return to Work program objectives
• Position entails working on site with State of Missouri as a contracted employee.

Qualifications

Benefits

We're committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $13.08 - $19.24 hourly, and will be based on a number of additional factors including skills, experience, and education. The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability. Don't meet every single requirement? Studies have shown that women and underrepresented minorities are less likely to apply to jobs unless they meet every single qualification. We are dedicated to building a diverse, inclusive, and authentic workplace, so if you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this or other roles. #LI-AP1 #COV

Salary : $13 - $19