Associate Benefit Coordinator – Medical Only

This is a fully remote position, open to applicants in Virginia.

📋 Description

• Evaluate Workers Compensation - Medical Only claims on behalf of clients to ascertain the benefits owed.

• Ensure continuous adjudication of claims in accordance with service expectations, industry best practices, and specific client service needs.

• Analyze and manage claims through action plans to achieve timely resolutions.

• Investigate and collect information to assess claim exposure.

• Negotiate claim settlements within the specified authority.

• Communicate claim activities and processing updates with claimants and clients.

• Report claims to the excess carrier.

• Respond to requests for directions in a professional and timely manner.

⛳️ Requirements

• High School Diploma or GED is mandatory.

• A Bachelor's degree from an accredited college or university is preferred.

• Professional certification relevant to the line of business is preferred.

• A minimum of 2 years of experience in claims management or an equivalent combination of education and experience is required.

• Familiarity with Virginia jurisdiction is preferred.

• Strong analytical and conceptual thinking skills.

• Excellent judgment, problem-solving capabilities, and discretion.

• Ability to manage work-related stress effectively.

• Capability to handle multiple priorities at once.

• Ability to meet deadlines consistently.

• Proficiency in computer keyboarding.

• Willingness to travel as needed.

🏝️ Benefits

• Flexible work schedule.

• Referral incentive program.

• Opportunity to operate in an agile environment.

• Career development and advancement opportunities.

• Medical, dental, vision, and 401K benefits from day one.

• 401K matching available.

• Paid time off (PTO).

• Disability and life insurance provided.

• Employee assistance program.

• Flexible spending account or health savings account options.

• Additional voluntary benefits available.