Claims Validation Specialist - Workers’ Compensation and Motor Vehicle Claims

Company is seeking a CLAIMS VALIDATION SPECIALIST, a detail-oriented individual who will take full ownership of the position. Candidates must possess outstanding organizational skills, ability to stay on task with minimal supervision and adapt in a constantly changing environment.

REQUIREMENTS

• High School Diploma or GED.
• At least 2+ years of BILLING experience including cases in WORKERS’ COMPENSATION or MOTOR VEHICLE CLAIMS.
• Competent technical skills in MS Office Suite and Windows applications and other software applications such as Epic, Cerner Soarian, and ERP or MRP systems a plus.

POSITION: Claims Validation Specialist – Workers’ Compensation and Motor Vehicle Claims

LOCATION: Lexington, Massachusetts

POSITION RESPONSIBILITIES

Manage both inbound and outbound calls efficiently and effectively by gathering CLAIM information from patients, employers, insurers and others outside firms

Verify information, receipt of INSURANCE CLAIM and bill review packages

Manage workflow, processing, document specifications for our document management system

Review and correct any CLAIM level system holds to prevent rejections

Complete all processing and sending of CLAIM files

Navigate online systems to perform accurate and timely data entry

Full Life Cycle Recruiting, Talent Acquisition, Technical Recruiting, Executive Search, Internet and Social Networks Recruiting, Permanent Placement, Temporary Staffing, Candidates Sourcing…