Spooner Medical Administrators, Inc. ยท 3 days ago
Claims Analyst
United States
Full-time
Remote
New Grad, Entry Level
$18/hr - $20/hrSpooner Medical Administrators, Incorporated (SMAI) is a family owned and operated company that offers rewarding career opportunities for motivated individuals. The Claims Analyst will telephonically intake work-related injury information, process claim paperwork, and manage medical-only work-related injuries to facilitate a successful return to work for injured workers.
BillingHuman ResourcesInsuranceMedicalPharmaceutical
Hiring Manager
Samantha Nescola
Responsibilities
Review and verify information entered by the Intake Department
Initiate contact with injured workers and employers to obtain information regarding new claims for electronic filing with the Ohio BWC
Follow up with injured workers and employers for treatment and return to work information
Document all phone calls, emails and faxes sent to injured workers, employers and/or providers in computer system
Assist Intake Department in contacting the provider for initial medical
Accept and approve indexed medical documents
Communicate with the Case Management Supervisor regarding claims that meet the case management referral criteria and make referrals accordingly
Prepare new claims or updates to existing claims for electronic filing by accurately entering information in the computer system
Respond to customer inquiries regarding claim issues
Assist SMAI with maintaining a high level of customer satisfaction
Incorporate staff development training and changes in SMAI policies and procedures into the claim analyst activities
Other duties as assigned
Qualification
Required
High School diploma or equivalent
General knowledge of the insurance industry, with workers' compensation exposure preferred
Effective written and verbal communication
Accurate data entry
Problem-solving skills
Strong organizational ability
Attention to detail
Preferred
Basic computer literacy skills
Company
Spooner Medical Administrators, Inc.
Spooner Medical Administrators, Inc.
Founded in 1994
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase