DEPARTMENT: CLAIMS
REPORTS TO: CUSTOMER CARE SUPERVISOR
STATUS: NON-EXEMPT
HOURS: T-Sa 9a-6p
Requirements of the Position
- High School Diploma or equivalent
- Computer literacy; familiarity with Microsoft Office suite
- Must be able to type 45 WPM
- This individual will adhere to the code of ethical conduct and is required to
engage in fair claims settlement practice in accordance with the workers’
compensation law
- Minimum of one year relevant claims experience in the Worker’s Compensation
field is desired.
Job Summary
- Nominates or removes medical providers to the Medical Provider Network
(MPN)
- Reconciles MPN requests on a follow-up basis
- Through the MPN enrollment process, establishes a customer service
relationship with the policyholder contact and/or Human Resources facilitator by
conducting surveys, preparing enrollment documents for mailing/fax or e-mail
- Relates an understanding of the LC Rules relative to the MPN, its use and
employee rights. Applies knowledge to conduct a provider lookup in the MPN
- Maintains proper documentation for each policyholder enrollment, prepares claim
kits, and mails welcome letters to new and renewed policy holders
Skill and Ability Profile
This individual will possess the following skills:
- Good listening; and good written, communication, and organizational skills
- Ability to multi-task and stronghold the understanding of human nature and
motivation principles
- Readily control/handle problem issues in times of stress, and/or in a climate of
conflict or adversity
- Ability to document claim file activities is required
- Responsiveness to changing business or customer needs
Midwest offers a casual work environment, with a competitive benefit package. If
interested, please e-mail resume and cover letter with salary requirements to:
