Workers Compensation Invoice Review Specialist I

Bloomington, Minnesota
Not Specified
Sep 28, 2016
Nov 27, 2016
Job Type
Not Specified
Career Level
Not Specified
State Auto Insurance Companies, through its workers' compensation division RTW, Inc., is transforming the workers' compensation system with highly innovative programs that dramatically reduce employers' costs. We are an industry leader in providing integrated disability and productivity solutions. We offer our services for insured and self-insured employers, large deductible and state fund employers. We also offer our Third-Party Administration, MGA services, and custom services through our service division, Absentia.

We have an opening for an Invoice Review Specialist to support the workers compensation division. This is a great opportunity for someone looking to get into the insurance industry.

General Summary:

To provide claims administrative support and to ensure accurate and timely payment of medical expense related invoices and to provide superior customer service.

Key Responsibilities:

A. Process medical invoices, mileage, prescription, attorney and other vendor invoices to result in accurate and timely payment.
1. Review claim numbers to ensure that they are correct for each invoice received.
2. Verify that expenses and services rendered are accurate.
3. Review invoices for approval; ask appropriate questions of Case & Claims Management Team Members.
4. Accurately enter payments into computer system.
5. Maintain knowledge of current reimbursement rates and rules, and utilize knowledge in appropriate reimbursement payment.
6. Scan and catalog invoices.
7. Release checks for printing.

B. Act as a liaison between Case & Claims Management Team,/Medical Cost Management Team and Information Systems on issues as they occur.
1. Determine appropriate response to Case & Claims Management Team suggestions.
2. Answer questions and handle any inquiries from Case & Claims Management Teams.

C. Actively participate in overall company and team efficient operations.
1. Collaborate with co-workers by assisting in areas where and when needed.
2. Actively participate in team functions, collaborate on projects, and participate in the development of and/or design of elements in areas of change.
3. Exhibit positive demeanor and professional behavior toward co-workers, clients and customers.
4. Actively participate in personal goal setting and in the performance appraisal process.
5. Produce unparalleled client/customer services at all times.
6. Take an active role in the education, training, coaching, mentoring and development of new and current team members as directed.
7. Observe all company safety and health rules and apply these in all day to day activities.

Minimum Experience / Education:
High School Diploma. Post secondary experience preferred.

One year of administrative/medical experience. Claims processing experience preferred. Prior medical experience, knowledge of ICD-10 and CPT-4 coding strongly preferred.

Technical Skills:
Knowledge of: Basic accounting, SA policies and procedures, basic insurance terminology, legal and medical terminology, SA's computer software packages, basic workers' compensation law and statutory requirements.

Skilled in:
Data entry, computer proficiency, written and verbal communication, basic math skills.

Ability to:
Articulate the RTW vision, philosophy, program component requirements and RTW technology, and effectively work with detail.

Behavioral Skills:

Flexibility, customer focus, creativity, innovation, self-direction and continuous learning. Maintain reasonable and predictable work attendance.

Skilled in:
Personal leadership, relationship building, problem solving and pursuing opportunities, planning and organization.

About us:

State Auto offers a competitive salary, an annual bonus program, an excellent benefit program including medical, dental, vision and prescription insurance coverage, life insurance, matching 401(k) plan, flexible spending accounts, tuition assistance, and a stock purchase plan.

State Auto is committed to the principal of equal employment opportunity for all associates and applicants and to providing associates with a work environment that is free from discrimination and harassment. All employment decisions (hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, training and work assignments) are based on business needs, job requirements and individual qualifications without regard to race, color, religion, gender, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, citizenship status, military status, or status as a covered veteran in accordance with applicable federal, state and local laws. State Auto will not tolerate discrimination or harassment based on any of these characteristics.

State Auto is a smoke-free work environment. We utilize drug screening and background checks as conditions of employment. For all exempt positions we also obtain motor vehicle reports (MVR s).

State Auto will not accept candidates from third-party recruiters without a signed agreement with State Auto.