Medical Claims Specialist - Workers Compensation

Job description

WHAT WE'RE LOOKING FOR: Berkshire Hathaway Homestate Companies has an opening in our San Diego, CA office for a Medical Claims Specialist. After successful completion of the Medical Claims Training Program, this individual will manage a caseload of workers’ compensation medical-only claims from inception to resolution. ESSENTIAL RESPONSIBILITIES: - Successfully completes the Medical Claims Training Program. - In classroom training, is attentive, takes notes, asks appropriate questions, participates successfully in exercises, and demonstrates mastery of the subject material. - In the Medical Claims Unit, asks appropriate questions, exhibits continuous improvement under the guidance of the supervisor, and demonstrates mastery of fundamental adjusting knowledge, skills, and strategy. - Learns medical subjects including anatomy, physiology, terminology, pharmacology, causation, nature of the injury, and diagnostic and treatment methodology. - Learns legal subjects including relevant statutes and regulations. - Learns to effectively and efficiently use the computer systems employed in the management of claims. - Learns skills such as investigative and persuasive communication, decision-...