Claims Resolution Specialist
Claims Resolution Specialist
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Job Description
We are seeking a high-energy goal-oriented Claims Resolution Specialist to join our growing team in Andover Massachusetts. Under general supervision the Claims Resolution Specialist performs a variety of professional duties in support of IWPs pharmacy services. This position is responsible for expediting payment from workers compensation insurance carriers monitoring electronic billing rejections and maintaining accounts receivable. This is a phone-based position Monday through Friday from 8:30 am to 5:00 pm.
What Youll Do
- Review investigate and analyze claims to maximize recovery
- Monitor electronic billing rejections and take appropriate action
- Ensure proper filing of invoices and monitor billing statuses less than 60 days outstanding
- Develop and maintain internal systems for data collection and entry financial analysis and report generation; create and update spreadsheets and logs as necessary
- Serve as a liaison between insurance carriers pharmacy benefit managers patients and internal company divisions
- Negotiate settlements with insurance carriers within their granted settlement authority level as needed
- Pursue subrogation and arrange for salvage to obtain maximum recovery
Who You Are
- An experienced customer service professional with the ability to work in a fast-paced group
- An investigative mind with outstanding attention to detail
- A professional demeanor with strong oral and written communication skills
- Proven experience generating and analyzing complex reports
What Sets You Apart
- Workers compensation experience
- Knowledge of medical terminology
- Collections claims processing and subrogation experience
- Bilingual in Spanish (conversational and written)
Make a Difference with IWP
Injured Workers Pharmacy (IWP) is proud to be THE Patient Advocate Pharmacy helping injured workers around the country access their prescription medications with ease. As a specialized workers compensation home delivery pharmacy we collaborate with the legal medical and insurance communities to help injured workers return to a productive life. At IWP we believe in our service but its the people who make it a great place to work. We value our employees and strive for a culture of teambuilding open mindedness and fun. If that sounds like something youd like to be part of wed love to hear from you! Your compensation will include a competitive salary generous benefits and opportunities for growth and development.
IWP is an Equal Opportunity Employer. IWP does not discriminate on the basis of race creed color religion national origin sex sexual orientation gender identity age physical or mental disability or any other basis covered by appropriate law. All employment decisions are made on the basis of qualifications merit and business need. IWP is committed to providing reasonable accommodations for qualified individuals with physical and mental disabilities in our job application procedures. If you need assistance or an accommodation due to a disability you may contact us at We will make a determination on your request for reasonable accommodation on a case-by-case basis.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
