Claims Representative Job at Volt Workforce Solutions, Egg Harbor Township, NJ

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Job Description

Apply for tomorrow’s opportunity today, with Volt!
Volt is immediately hiring for Claims Adjustor in Egg Harbor Township, New Jersey. (Remote Position)
As a Claims Adjustor you will:
  • Contact the employer and medical provider or Nurse Case Manager upon receipt of claim to confirm/secure details of Workers’ Compensation claim. Contact employees where required.
  • Provide timely and accurate information to employer.
  • Determine if the claim is compensable in accordance with the applicable legal jurisdiction.
  • Complete all state required forms pursuant to applicable jurisdiction requirements.
  • Identify the treating physician to confirm the nature and extent of the injury. Refer to treating physicians in connection with or in lieu of Nurse Case Manager.
  • Oversee medical treatment and communications to employer.
  • Set appropriate reserves to pay medical treatment on accepted claims.
  • Prepare and provide medical bills for repricing to the approved MCO (Managed Care Organization) vendor, where applicable.
  • Obtain approval for medical treatment payment consistent with client protocols.
  • Accurately and efficiently pay medical bills related to claim.
  • Maintain appropriate Medical Only diary, pursuant to our Best Practices.
  • Perform other duties as required.

This is a full-time opportunity.
  • The ideal candidate will have:
  • Confidentiality - Possesses a high level and regard for confidentiality.
  • Judgment - Forms an opinion objectively and with discretion.
  • Problem Solving - Evaluates information and situations, approaching and resolving in a timely manner.

Pay Rate: $20.00 per hour
  • Pay range offered to a successful candidate will be based on several factors, including the candidate's education, work experience, work location, specific job duties, certifications, etc.

Qualified candidates should APPLY NOW for immediate consideration! Please hit APPLY to provide the required information, and we will be back in touch as soon as possible.
Benefits: Volt offers benefits (based on eligibility) that include the following: health, dental, vision, term life, short term disability, AD&D, 401(k), Sick time, and other types of paid leaves (as required by law), Employee Assistance Program (EAP).
Volt is an Equal Opportunity Employer and prohibits any kind of unlawful discrimination and harassment. Volt is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment on the basis of race, color, religion or belief, national origin, citizenship, social or ethnic origin, sex, age, physical or mental disability, veteran status, marital status, domestic partner status, sexual orientation, or any other status protected by the statutes, rules, and regulations in the locations where it operates. If you are an individual with a disability and need a reasonable accommodation to assist with your job search or application for employment, please contact us at . Please indicate the specifics of the assistance needed.

Volt does not discriminate against applicants based on citizenship status, immigration status, or national origin, in accordance with 8 U.S.C. § 1324b.

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