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Based in Atlanta, Georgia, Crawford & Company (www.crawfordandcompany.com) is the world's largest independent provider of claims management solutions to the risk management and insurance industry as well as self-insured entities, with a global network of more than 700 locations in 63 countries. The Crawford System of Claims SolutionsSM offers comprehensive, integrated claims services, business process outsourcing and consulting services for major product lines including property and casualty claims management, workers' compensation claims and medical management, and legal settlement administration. The Company's shares are traded on the NYSE under the symbols CRDA and CRDB.
Position Summary:
In this role, under direct supervision, you will process medical only claims within authority; process other claims open only for the administration of medical benefits (i.e., maintenance claims without actuarial reserves); approve payments and claimant reimbursements on lost time disability claims, within authority, after compensability has been determined. - Process 'M' Case claims (medical only) within area of payment authority up to, but not exceeding, $10,000.
- Process claims, other than 'M' cases, where all issues (indemnity, legal, etc.) have been settled
- Review and update data into a computerized system.
- Approve payments of medical bills on lost time disability claims (W, N, X, and Z Cases
- Demonstrate a thorough working knowledge of claim processing and claim policies and procedures.
- Demonstrate an understanding of basic medical terminology and appropriate medical tests for claimed conditions.
- Perform other duties as requested.
Requirements:
- Two (2) or more years of experience
- A thorough knowledge of computer entry and operations.
- Licensed as required by state and local jurisdictions
Preferred: - Previous experience as a Claim Clerk or the equivalent in related work experience.
In addition to a competitive salary, Crawford offers you: - In addition to a competitive salary, Crawford offers you:
- Career advancement potential locally, nationally and internationally. Crawford & Company has more than 700 location in 63 countries
- On-going training opportunities through every stage of your career
- Strong benefits package including health, dental, and life insurance; employee stock purchase plans; tuition reimbursement and so much more.
Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V
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