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Job Description
Investigates workers’ compensation injury/illness claims, documents claim handling, and pays and/or denies benefits in a caseload of primarily medical only (MO) workers’ compensation claims. Limited indemnity (disability) claims may be assigned to representatives for training purposes, at supervisor discretion. This position is also responsible for providing support to the claims department.
- Investigate claims for compensability by analyzing claims-related information and applying claim handling guidelines.
- Verify active policy/coverage on new claims and determine if claim involves medical benefits only or includes exposure for lost time.
