NEOGOV ยท 2 weeks ago
CLAIMS REPRESENTATIVE
City of Miami, FL
Full-time
Onsite
Mid Level
$47K/yr - $47K/yr
3+ years exp
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Responsibilities
Receives and prepares intake information on new workers' compensation or liability claims via telephone, mail, directly from claimants, or online claim forms.
Enters data on computer to cross-reference for prior claims.
Makes initial referrals for medical treatments, authorizes medical care, disability time and payment of medical bills.
Sets up files, maintains records and conducts follow-up as required.
Reviews bills for workers' compensation benefits, medical expenses and miscellaneous expenses for conformity to medical and surgical fee schedules; may adjust charges according to established procedures; approves invoices for payment and computer input; maintains payment records on each file.
Processes medical reimbursements to employees (i.e., mileage, prescriptions).
Maintains pending files under departmental regulations.
Communicates with departments on medical and work status of injured employees. Follows up with employees on return to work, light duty, modified duty or regular duty.
Communicates with physicians for special referrals and obtains authorization for physical therapy.
Confers with Claims Supervisor, Claims Adjustors and legal staff as to compensability of claims.
Prepares files, which go into litigation for follow-up investigation.
Performs other related work as required.
Qualification
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Required
High school diploma or its equivalent
Three (3) years clerical experience in areas of risk management
Including with above two (2) years experience in working effectively with the public.
Equivalent combination of education and experience beyond a high school diploma or its equivalent and two (2) years of the required experience.
Benefits
Medical Insurance
Dental
Comprehensive Vision
Pre-Paid Legal Services, Identity Theft Protection, (eligible for enrollment after completing 90-day waiting period)
Paid Leave (Vacation, Ill time, holidays, bereavement)
Life Insurance
Defined benefit pension plan
Options for deferred comp, credit union membership, and supplemental life insurance.
Tuition reimbursement
Company
NEOGOV
NEOGOV is the leading provider of workforce management software uniquely designed for the public sector, education, and public safety.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Warburg Pincus
2021-06-02Private Equity
2016-10-18Private Equity
Leadership Team
Shane Evangelist
CEO
Brandon McDonald
Head Of Marketing
Recent News
Company data provided by crunchbase
