Claims Adjuster - Medical Only (Entry Level) Job at RH Wine & Co LLC, Saint Charles, IL

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  • RH Wine & Co LLC
  • Saint Charles, IL

Job Description

Job Description

Job Description

Join Insurance Program Managers Group (IPMG) and become part of a dynamic team committed to innovation in insurance! For the past 25 years, our mission has been to create one-of-a-kind insurance solutions for our partners. We bring proactive and tailored approaches to our clients, valuing the unique contribution of each team member. Together, we shape our identity and drive transformative change for our clients.

Selected candidates will train with our seasoned team where you will have training exposure to all key departments within our insurance organization.

This is an exciting entry-level position for ideal undergraduates who have recently achieved a degree in business. A related degree in insurance or other insurance-related courses is a plus. This is a fantastic opportunity to start in the insurance industry and grow with a dynamic insurance company.

Requirements:

  • Bachelor’s degree in business
  • Knowledge of common software programs such as Microsoft Office and Excel
  • Excellent verbal and written communication skills to complete internal and external reports
  • Strong cost-benefit analysis, decision making, and organizational skills.
  • Great customer service skills
  • Detail oriented and flexible in working with various service plan structures.
  • Ability to travel approximately 10% travel for mediations, file reviews, and trials.
  • Insurance designations are not mandatory but are a plus.

Essential Functions:

  • Coordinates review, evaluation and processing of workers’ compensation medical only claims
  • Initiates contact with employers, injured employees, doctors and other parties.
  • Obtains and reviews medical records and claim related correspondences and determines appropriate action for each case.
  • Recognize clients that participate in the coordinated occupational health program structures and request and obtain the medical authorizations forms.
  • Calculates medical and treatment costs bring claim to a close.
  • Establishes initial and on-going reserves for medical costs and authorizes or denies payments.
  • Provides information to clients, claimants, doctors and others regarding the status of claims.
  • Coordinates workers’ compensation subrogation by determining if subrogation should be pursued, collects and reviews all necessary documentation, contacts all appropriate parties and pursues any third-party recoveries.
  • Complete all applicable Navrisk screens.
  • Maintains files notes in accordance with established procedures, maintains timely diary management and claim closing goals.

Salary Range:

$60,000 to $65,000. Pay will be based on experience. The position is full-time, non-exempt.

Core Hours - 8:00 a.m. to 5:00 p.m. Monday through Thursday. Then Friday 8:30 a.m. to 3 p.m. Occasional evening and weekend work may be required as essential -functions demand. This is hybrid position after being fully trained and would have 2 remote work from home days.

Company Benefits:

  • 20 days of PTO each year
  • 12 Holidays, 2 floating days of your choice and YOUR BDAY off!
  • Medical, dental and vision coverage on day one of full-time employment
  • Telemedicine is free for you and your family (day one) if you are covered under our medical plan.
  • 401k match
  • Professional development support
  • Flexible time off with an encouraged minimum time away to support a healthy work-life balance.
  • Life Insurance, Short term, and long-term disability on day one of full-time employment
  • Onsite fitness center and showers, in our St. Charles, IL HQ office

All About IPMG:

May we suggest you review our website ahead of our contact at and check us out on LinkedIn too to see what we are up to lately. Our goal is to meet the real YOU! We want to learn what makes you tick and how you want to grow in your field. And we will share more about IPMG answer any of your questions. If we feel we have a match you will have a chat with our hiring manager to discuss the technical nature of the position to ensure you have the skills needed to be a success.

IPMG is committed to a diverse and inclusive workplace. IPMG is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, religion, or other legally protected status.

Candidates that are selected and hired will need to submit to substance, credit, and criminal background screenings, and computer literacy testing. IPMG is an Equal Opportunity Employer—M/F/D/V

Job Tags

Full time, Temporary work, Casual work, Work at office, Remote work, Monday to Thursday, Flexible hours, Afternoon shift,

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