The Cincinnati Insurance Companies · 6 hours ago
Claims - Workers Comp Technician I - II
Fairfield, OH
Full-time
Onsite
Entry, Mid Level
$40K/yr - $50K/yrThe Cincinnati Insurance Companies is a service-oriented organization that values its associates and aims to provide exceptional service to independent agents. They are seeking a Workers’ Compensation Technician I / II to manage medical-only workers’ compensation claims, ensuring proper coverage and coding while maintaining communication with all stakeholders involved in the claims process.
Insurance
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
Qualification
Required
High school diploma or equivalent
Strong decision-making skills and acute attention to detail
Excellent verbal and written communication skills
Excellent customer service skills
Preferred
Understanding of workers' compensation claims handling basics preferred
Knowledge of Microsoft Outlook, Word, Excel and Adobe
Company
The Cincinnati Insurance Companies
The Cincinnati Insurance Companies markets business, home and auto insurance products through independent insurance agencies.
Founded in 1950
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Michael J. Sewell
CFO, Executive Vice President & Treasurer
Steven A. Soloria, CFA, CPCU
Sr. Vice President, Chief Investment Officer
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