Claims - Workers Comp Technician I - II
About The Position
At The Cincinnati Insurance Companies, we put people first and apply the Golden Rule to our daily operations. To put this into action, we’re looking for extraordinary people to join our talented team. Our service-oriented, ethical, knowledgeable, caring associates are the heart of our vision to be the best company serving independent agents. We help protect families and businesses as they work to prevent or recover from a loss. Share your talents to help us reach for continued success as we bring value to the communities we serve and demonstrate that Actions Speak Louder in Person®. If you’re ready to build productive relationships, collaborate within a diverse team, embrace challenges and develop your skills, then Cincinnati may be the place for you. We offer career opportunities where you can contribute and grow. Claims Workers Compensation is currently seeking a Workers’ Compensation Technician I /II to handle medical only workers’ compensation claims.
Requirements
- High school diploma or equivalent
- Understanding of workers’ compensation claims handling basics preferred
- Knowledge of Microsoft Outlook, Word, Excel and Adobe
- Strong decision-making skills and acute attention to detail
- Excellent verbal and written communication skills
- Excellent customer service skills
Responsibilities
- Verify coverage and review class codes to ensure proper setup and coding of medical only claims
- Initial and regular contact with agents, employers, employees and providers until medical only claims are concluded
- Establish initial loss and expense reserves for medical only claims
- Accurate and timely submission of all state filings as required
- Review of medical bills and records to confirm causal relationship to allowed/ accepted injuries
- Approval/ denial of medical bills as required
- Utilize managed care programs as appropriate
- Review and authorize/ reject prescriptions when prior-authorization is required
- Facilitate the use of employer physician panels as appropriate
- Process and handle unmatched medical bills when received
- Work collaboratively with WC claim handling associates
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
