Bill Reviewer III
Process and audit medical bills in accordance with workers' compensation fee schedules while maintaining production standards. Communicate with clients and providers to clarify information and resolve billing discrepancies.
Process and audit medical bills in accordance with workers' compensation fee schedules while maintaining production standards. Communicate with clients and providers to clarify information and resolve billing discrepancies.
The Claims Manager is responsible for overseeing the claims department, including managing supervisors and staff to ensure high-quality work product and compliance with labor codes. They provide coaching, performance feedback, and strategic direction while managing department operating expenses and client relationships.
The supervisor is responsible for overseeing a unit of claims specialists and assistants to ensure accurate and compliant claim file management. They provide coaching, performance feedback, and monetary approval authority while maintaining oversight of complex or high-value claim files.
The Claims Adjuster III manages complex, high-exposure workers' compensation claims, including catastrophic injuries and multi-party litigation. They provide technical guidance to the unit, lead settlement negotiations, and serve as a senior point of contact for key client accounts.