Medical Adjuster

This is a fully remote position, open to applicants in Kansas, +2 more states.

📋 Description

• Assist Workers' Compensation Coordinators by responding to inquiries and gathering additional information to assess claim compensability.

• Act as the gatekeeper for the Workers' Compensation program, ensuring uniform application of state regulations and claims management throughout the Mercy System.

• Manage medical-only workers' compensation claims.

• Collaborate as a team member with Mercy Adjusters on lost-time and litigated claims.

• Provide support for workers' compensation claims from the initial reporting stage to resolution.

• Partner with injured employees, leaders, medical providers, and the Workers' Compensation team.

• Conduct investigations into claims and coordinate medical care.

• Maintain accurate documentation and review payments.

• Ensure timely handling of claims in accordance with state regulations.

⛳️ Requirements

• High School Diploma.

• Three years of prior experience in insurance or workers' compensation claims management.

• Strong verbal and written communication skills.

• Ability to work independently and make decisions in alignment with state and federal laws, as well as Mercy's policies and best practices.

• Licensure in the states where Mercy operates is preferred.

• Background in insurance and claims is preferred.

• Basic understanding of the workers' compensation framework is preferred.

• Specific knowledge of workers' compensation regulations in MO, AR, OK, and KS is preferred.

• Familiarity with OSHA, legal, and medical terminology is preferred.

• Experience in the medical field is preferred.

🏝️ Benefits

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Paid time off.

• Tuition support.

• Matched retirement plans for team members working 32+ hours per pay period.