- Lake Mary, FL
- Wayne, PA
- Communicates via mail, phone, and email with injured workers, employers, and medical providers.
- Sets up file diaries, documents follow-up care, and other claim-related activities.
- Assesses reserves appropriately and timely with authority level not to exceed $2,500.
- Reviews and responds to incoming mail, emails, telephone calls, and fax transmissions from providers and injured workers and takes actions required.
- Moves inventory to closure or upgrades as injuries evolve.
- Responsible for bringing files to supervisor's attention when issues become complex.
- Supports the process by scheduling medical or testing appointments to determine appropriateness of medical care being received related to injury.
- Authorizes/certifies medical treatment in line with Utilization Review Regulations and as outlined within department UR plan.
- Identifies, investigates, and pursues subrogation cases.
- Follows up with medical providers to obtain results.
- Maintains effective communications with other departments and maintains a good working relationship with customers.
- Reviews and approves or denies medical bills and returns bills with insufficient information.
- Processes bills in the bill paying and tracking system or issue for processing by others.
- Ensures timely payment of bills to assure treatment continuity.
- High school diploma or general education degree (GED) required.
- Minimum 1 year of related experience and/or training; or equivalent combination of education and experience.
- Florida 6-20 All-Lines Adjuster License required.
- New York 17-72 Motor Vehicle No-Fault & Work. Comp Adjuster License is a plus.
- Ability to read, write and comprehend simple instructions, short correspondence, and memos.
- Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
- Ability to read, analyze, and interpret technical journals, financial reports, or legal documents.
- Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community.
- Ability to add, subtract, multiply, and divide using whole numbers, common fractions, and decimals.
- Ability to define problems, collect data, establish facts, and draw valid conclusions.
- Challenging work and the ability to make a difference
- You will have a voice and feel a sense of belonging
- We offer a competitive benefits package, with generous medical, dental, and vision plans as well as 401K retirement plans and company match
- Bonus potential for all positions
- Paid Time Off with an accrual rate of 5.23 hours per pay period (equal to 17 days per year)
- 10 paid holidays throughout the calendar year
- Want to continue learning? We'll support you 100%
-
Optometrist - Grand Junction, CO
Found in: SonicJobs Direct Apply US - 6 days ago
MRG Exams Mack, United StatesMRG Exams, a leader and premier service provider of independent medical examinations is looking for a part-time Optometrist to perform comprehensive eye exams on United States Veterans as part of the VA's SHA process. The Optometrist will be responsible for reviewing medical heal ...
-
senior medical bill examiner
Found in: Careerbuilder One Red US C2 - 1 day ago
The Hartford Lake Mary, FL , USA, United StatesSr Med Bill Examiner - CJ10DN · We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish theirs, too. Join our tea ...
-
Title Examiner III
Found in: Betterteam US S2 T2 - 3 days ago
Ardán, Inc., A Community of Companies Maitland, United States Remote job Full timeTitle Examiner III, Remote, FL - Westcor Land Title Insurance Company · GENERAL PURPOSETitle Examiners are responsible for abstracting and examining documents from the public records and providing title opinions based on the facts and documentation. This is achieved by using exte ...
-
Construction Surveillance Technician
Found in: ZipRecruiter Test10S US C2 - 2 days ago
IDS International Winter Park, United StatesJob Description · Job DescriptionConstruction Surveillance Technician (CST) - OCONUS Locations · Why IDS? · IDS believes in resolving conflict, building innovative approaches to do so. Combining operational expertise with an intimate understanding of today's greatest challenges, ...
-
Medical Assistant
Found in: ZipRecruiter Test10S US C2 - 2 days ago
VIPcare Winter Park, United StatesJob Description · Job DescriptionOur purpose is Better Health. Specializing in primary care for patients 65+ is our passion. · What's Your Why? · • Are you looking for a career opportunity that will help you grow personally and professionally? · • Do you have a passion for helpi ...
-
associate medical examiner, $1000 sign on
Found in: MyJobHelper US C2 - 1 day ago
Orange County, FL Orlando, FL , USA, United StatesOverview · At Orange County Government, we are proud to serve the public with integrity, honesty, fairness and professionalism. We develop innovative policies and services that impact Central Florida and shape the future of our community. · The Orange County Health Services depar ...
-
ct technologist prn
Found in: MyJobHelper US C2 - 1 day ago
Adventist Health System Orange City, FL , USA, United StatesCT Technologist Per Diem · AdventHealth Fish Memorial · Facility Address: 1055 Saxon Blvd., Orange City, FL 32763 · All the benefits and perks you need for you and your family: · * Benefits from Day One · * Student Loan Repayment Program · * Career Development · * Whole Person We ...
-
ct technologist prn
Found in: MyJobHelper US C2 - 1 day ago
Adventist Health System Orange City, FL , USA, United StatesCT Technologist Per Diem · AdventHealth Fish Memorial · Facility Address: 1055 Saxon Blvd., Orange City, FL 32763 · All the benefits and perks you need for you and your family: · * Benefits from Day One · * Student Loan Repayment Program · * Career Development · * Whole Person We ...
-
Contract Administrator with Security Clearance
Found in: Dice One Red US C2 - 2 days ago
Northrop Grumman Apopka, FL, United StatesAt Northrop Grumman, our employees have incredible opportunities to work on revolutionary systems that impact people's lives around the world today, and for generations to come · Our pioneering and inventive spirit has enabled us to be at the forefront of many technological advan ...
-
radiology technician prn
Found in: MyJobHelper US C2 - 1 day ago
Surgery Partners Orlando, FL , USA, United StatesNo weekends, nights, holidays, or on call · JOB TITLE: Radiographer · ESSENTIAL FUNCTIONS: · Performs fluoroscopic procedures for the treatment of patients of all age groups, utilizing the guidelines of the professional radiology practice standards. Responsible for all duties rel ...
-
lpn perioperative anesthesia
Found in: Careerbuilder One Red US C2 - 2 days ago
Orlando Health Orlando, FL , USA, United StatesPosition Summary Provides and documents individualized patient care to include patient evaluation, education, medication administration, IV therapy, treatments and patient safety as directed by the RN or provider. Full-Time, Days Qualifications Education/Training · • Graduate fr ...
-
ct technologist
Found in: MyJobHelper US C2 - 1 day ago
Nemours Foundation Orlando, FL , USA, United States OTHERNemours is seeking a CT Technologist (CASUAL/PRN), to join our Nemours Children's Health team in Orlando, Florida. · Work Schedule: Shifts could include days, evenings, overnights, weekdays and weekends. · Located in Orlando, Fla., Nemours Children's Hospital is the newest additi ...
-
nurse practitioner, np
Found in: Careerbuilder One Red US C2 - 2 days ago
Orlando Health Orlando, FL , USA, United StatesPosition Summary · Exciting Interventional Spine opportunity at the OrlandoHealth/Jewett Orthopedic Institute 100% clinical role, M-F, no weekends or holidays. Looking for an experienced NP or PA in either interventional spine and/or pain management (this role WILL NOT be respons ...
-
pediatric radiologist, nighthawk
Found in: MyJobHelper US C2 - 1 day ago
Nemours Foundation Orlando, FL , USA, United StatesNemours Children's Hospital, Florida is seeking a Pediatric Radiologist to work in our emergency radiology section as a nighthawk serving the national enterprise Department of Radiology. This position is open to both on-site and remote candidates and would consist of a 1 week on ...
-
ultrasound technologist
Found in: MyJobHelper US C2 - 1 day ago
Nemours Foundation Orlando, FL , USA, United StatesNemours is seeking an Ultrasound Technologist (CASUAL/PRN), to join our Nemours Children's Health team in Orlando, Florida. · Located in Orlando, Fla., Nemours Children's Hospital is the newest addition to the Nemours integrated healthcare system. Our 130-bed pediatric hospital a ...
-
INTERDISCIPLINARY ENGINEER/ COMPUTER SCIENTIST with Security Clearance
Found in: Dice One Red US C2 - 2 days ago
Department of Defense Alafaya, FL, United StatesDuties · • You will provide systems engineering advice, consultation and technical documentation to engineers, project directors and management on designated specialty areas, as required. · • You will integrate systems engineering and subject-matter-expertise requirements, approa ...
-
Diesel Technician
Found in: Lensa US P 2 C2 - 2 weeks ago
Rush Enterprises Orlando, United States Paid WorkA Service Technician is responsible for providing service to our customers while maintaining exceptional customer service. This can include: cleaning, maintenance, visual inspection, and removal of parts and attachments. Installation with the help of proper manuals, report writin ...
-
INTERDISCIPLINARY ENGINEER/ COMPUTER SCIENTIST with Security Clearance
Found in: Dice One Red US C2 - 2 days ago
Department of the Navy Alafaya, FL, United StatesSummary This is a public notice flyer to notify interested applicants of anticipated vacancies through the STRL Mission Support direct hire authority · Applications will not be accepted through this flyer · Interested applicants must follow the directions in the "How to Apply" se ...
-
clinical ophthalmologist
Found in: MyJobHelper US C2 - 1 day ago
Matrix Providers Orlando, FL , USA, United StatesClinical Ophthalmologist - Traveling throughout U.S. · Location: Orlando, FL, United States · Healthcare Provider Type : Allied Health · START YOUR APPLICATION \_id=3024756&source= CJB-0) · Experience the Matrix Providers Advantage. We strive to provide a framework of stability ...
-
Family Medicine Physician or Internal Medicine Physician
Found in: Ziprecruiter Test15 US C2 - 1 day ago
ETS Family Medicine Orlando, United StatesJob Description · Job DescriptionJob Title: Family Medicine or Internal Medicine Physician Outpatient Primary Care · Job Description: · Join a leading private group practice with a strong local brand Seeking a highly motivated Family Medicine or Internal Medicine Physician to joi ...
Medical Only Examiner I - Lake Mary, United States - ICW Group
Description
Are you looking for more than just a job? Do you want to have a voice and feel a sense of belonging? At ICW Group, we hire innovative people who consistently adapt, grow and deliver. We believe in hard work, a fun work environment, and embracing creativity that only comes about when talented people collaborate to develop solutions. Our mission is to create the best insurance experience possible.
Headquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for seven consecutive years as a Top 50 performing P&C company offering the stability of a large, profitable and growing company combined with a small-company entrepreneurial spirit. Our purpose-driven ethos provides team members with opportunities to contribute, develop, and belong.
The Medical Only Examiner I will administer benefits in accordance with statutory and case law as well as pertinent regulations for an inventory comprised of minor injuries with no lost time. This position exists to reserve, manage, and bring Workers' Compensation claims to an equitable conclusion within the company standards and best practices guidelines.
Candidates will be required to work a hybrid schedule out of one of the following ICW Group's branch offices:
WHAT YOU WILL DO
Receives and reviews information related to Medical Only claims.
Manages medical treatment to bring files to closure.
Pays bills appropriately and timely.
WHAT YOU BRING TO THE ROLE
KNOWLEDGE AND SKILLS
COMPENSATION
The hourly range listed for this position, $ to $33.8448, is exclusive of fringe benefits and potential bonuses. If hired at ICW Group, your final base salary compensation will be determined by factors such as skills, experience and/or education. In addition, we believe in the importance of pay equity and consider internal equity of our current team members as part of any final offer. We typically do not hire at the maximum of the range in order to allow for future and continued salary growth. We also offer a substantial benefits package outlined below.
WHY JOIN ICW GROUP?
ICW Group is committed to creating a diverse environment and is proud to be an Equal Opportunity Employer. ICW Group will not discriminate against an applicant or employee on the basis of race, color, religion, national origin, ancestry, sex/gender, age, physical or mental disability, military or veteran status, genetic information, sexual orientation, gender identity, gender expression, marital status, or any other characteristic protected by applicable federal, state or local law.
#LI-ET1 #LI-Hybride