Remote Workers Compensation Claims Examiner | WFH

Job Overview

We are looking for a committed and detail-oriented Claims Examiner specializing in Workers’ Compensation to join our dynamic team in a fully remote capacity. In this pivotal role, you will be instrumental in managing claims for our clients, ensuring that all processes and services not only meet but exceed industry standards and client expectations.

Key Responsibilities

• Client Interaction: Develop and maintain robust relationships with clients through consistent communication, including meetings, calls, and emails, as well as participation in relevant industry events.
• Trend Monitoring: Analyze client trends and referral patterns while staying abreast of competitive landscapes and regulatory changes in the industry.
• Operational Partnership: Collaborate closely with the Operations team to uphold contract compliance, proactively address emerging trends, and spearhead resolution of any issues that arise.
• Interdepartmental Communication: Foster seamless communication between departments to enhance service delivery and client satisfaction.
• Product Expertise: Acquire a thorough understanding of the MyMedlogix portal application to assist clients with troubleshooting, demonstrations, and onboarding processes for new adjusters.
• Presentation Delivery: Prepare and deliver compelling presentations during client meetings, including organizing year-end reviews and periodic stakeholder meetings.
• CRM Management: Keep the CRM database current with client updates and identify potential growth avenues.
• Sales Collaboration: Partner with the Sales team in lead generation efforts and facilitate the onboarding of new clients.
• Account Expansion: Actively seek out opportunities to broaden the range of products and services offered to existing accounts.
• Problem Resolution: Address customer inquiries and troubleshoot product-related issues as necessary.
• Industry Awareness: Stay informed about industry developments, emerging products, and service offerings to provide informed insights to clients.
  
  

Required Skills

• Strong aptitude for client relationship management.
• Exceptional communication and presentation capabilities.
• Proficient in analyzing trends and deriving actionable insights.
• Expertise in CRM management.
• Effective problem-solving skills.
• Familiarity with industry regulations and standards.
• Capacity for collaborative work across various departments.
• Previous experience with the MyMedlogix portal application is preferred.
  
  

Qualifications

• A Bachelor's degree from an accredited four-year institution is preferred.
• 1-3 years of relevant experience in Auto and/or Workers’ Compensation, Medical Claims, Independent Medical Exams, and Peer Review account management is preferred.
  
  

Career Growth Opportunities

We are dedicated to fostering professional development and career advancement within our organization, ensuring that our team members can enhance their skills and progress in their careers.

Company Culture And Values

We pride ourselves on our commitment to diversity and inclusivity, focusing on collaboration, client success, and continuous improvement in our work environment.

Employment Type: Full-Time