Claims - HQ Work Comp Specialist I
Fairfield, OH, USA
USD 45k-65k / year + Equity
Description
Make a difference with a career in insurance
At The Cincinnati Insurance Companies, we put people first and apply the Golden Rule to our daily operations. To put this into action, we’re looking for extraordinary people to join our talented team. Our service-oriented, ethical, knowledgeable, caring associates are the heart of our vision to be the best company serving independent agents. We help protect families and businesses as they work to prevent or recover from a loss. Share your talents to help us reach for continued success as we bring value to the communities we serve and demonstrate that Actions Speak Louder in Person®.
If you’re ready to build productive relationships, collaborate within a diverse team, embrace challenges, and develop your skills, then Cincinnati may be the place for you. We offer career opportunities where you can contribute and grow.
Build your future with us
Our Claims Workers’ Compensation is currently seeking a HQ WC Specialist I to handle medical only workers’ compensation claims.
Starting Salary: The pay range for this position is $45,000 - $65,000. Pay is based on the applicant’s education, experience, location, knowledge, skills and abilities. Eligible associates may also receive an annual cash bonus and stock incentives based on company and individual performance
Be ready to:
- handle all aspects of medical only claims of varying complexity levels from multiple jurisdictions
- verify coverage and review class codes to ensure proper setup and coding of medical only claims
- initial and regular contact with agents, employers, employees and providers until medical only claims are concluded
- establish initial loss and expense reserves
- ensure accurate and timely submission of all state filings as required
- review of medical bills and records to confirm causal relationship to allowed/accepted injuries
- approval/ denial of medical bills as required
- utilize managed care programs as appropriate
- review and authorize/reject prescriptions when prior-authorization is required
- facilitate the use of employer physician panels as appropriate
- process and handle unmatched medical bills when received
- work collaboratively with WC Claims associates
Be equipped with:
- strong understanding of workers' compensation claims handling preferred
- knowledge of Microsoft Outlook, Word, Excel and Adobe
- strong decision-making skills and acute attention to detail
- excellent verbal and written communication skills
- excellent customer service skills
- willingness to obtain and maintain state licensures as necessary
Enhance your talents
Providing outstanding service and developing strong relationships with our independent agents are hallmarks of our company. Whether you have experience from another carrier or you’re new to the insurance industry, we promote a lifelong learning approach. Cincinnati provides you with the tools and training to be successful and to become a trusted, respected insurance professional – all while enjoying a meaningful career.
Enjoy benefits and amenities
Your commitment to providing strong service, sharing best practices and creating solutions that impact lives is appreciated. To increase the well-being and satisfaction of our associates, we offer a variety of benefits and amenities.
Embrace a diverse team
As a relationship-based organization, we welcome and value a diverse workforce. We grant equal employment opportunity to all qualified persons without regard to race; creed; color; sex, including sexual orientation, gender identity and transgender status; religion; national origin; age; disability; military service; veteran status; pregnancy; AIDS/HIV or genetic information; or any other basis prohibited by law. All job applicants have rights under Federal Employment Laws. Please review this information to learn more about those rights.
