Albuquerque, New Mexico, United States · On-site
Description Job Title: Workers’ Compensation Medical Only Adjuster Department: Workers’ Compensation Reports to: Workers' Compensation Claims Manager Position Summary: This position is responsible for the adjudication of…
Skills: Claims Adjudication, Medical Terminology, Conflict Resolution, Negotiation, Customer Service
Albuquerque, New Mexico, United States • On-site
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Responsible for the adjudication of medical-only workers' compensation claims in accordance with New Mexico statutes and client procedures. Key duties include investigating claims, coordinating medical treatment, and managing reserves and medical bill payments.
Requires a high school diploma, though a bachelor's degree is preferred, and the ability to obtain a New Mexico Adjuster License. Preference is given to candidates with one to three years of insurance industry experience or knowledge of workers' compensation claims.
Description
Job Title: Workers’ Compensation Medical Only Adjuster
Department: Workers’ Compensation
Reports to: Workers' Compensation Claims Manager
This position is responsible for the adjudication of medical only workers’ compensation claims, assigned by our clientele, in accordance with the New Mexico Workers’ Compensation Statute, governing rules and regulations, related case law and client and company procedures. New loss assignments are client specific, based on case complexity.
Essential Functions:
Requirements
Education:
High school diploma required. Bachelor’s degree from an accredited college or university preferred.
This is an entry-level training position, however it is preferred that the applicant have some knowledge and recognition of a workers’ compensation claim. Prefer one to three years in the insurance industry or similar experience handling claims. Additional relevant experience considered in lieu of education.
Adhere to values and mission by demonstrating Service Excellence, Trust, Ownership, One Team and Boldness in thought and action.
Develops and maintains positive working relationships with team members, customers, co-workers and management by demonstrating effective communication and collaborative skills.
Your Partner in Risk Management
Backed by 50 years of claims adjusting experience, Integrion Group provides risk management solutions for insurance companies, self-insured entities and others with exposure in New Mexico or Arizona. Our custom services include third-party claims administration, independent adjusting, workers’ compensation claims administration and medical case management. With Integrion you can choose just the services you need—from independent adjusting of a single claim to full administration of your self-insured program.
Offices: 5201 Balloon Fiesta Pkwy NE, Albuquerque, New Mexico 87113, US · PO BOX 80560, Phoenix, Arizona 85060, US
Your Partner in Risk Management
Backed by 50 years of claims adjusting experience, Integrion Group provides risk management solutions for insurance companies, self-insured entities and others with exposure in New Mexico or Arizona. Our custom services include third-party claims administration, independent adjusting, workers’ compensation claims administration and medical case management. With Integrion you can choose just the services you need—from independent adjusting of a single claim to full administration of your self-insured program.
Offices: 5201 Balloon Fiesta Pkwy NE, Albuquerque, New Mexico 87113, US · PO BOX 80560, Phoenix, Arizona 85060, US
