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Utah-based, Remote, Exp. Medical Insurance Claims Representative (Similar to Examiner, Adjuster)

Remote, USA Full-time Posted 2025-04-19

I am recruiting for a Utah, Remote, Business Medical Claims Representative for an 80-person, A-rated insurance company & think you may be a great fit.

(Similar job titles Casualty/Injury Claims Examiner, Adjuster)

You must be located in Utah or willing to relocate immediately or you will be rejected.

Why consider joining?
? Stability with career advancement
? Work-life balance: 8:30a-5p/7:30a-4p, or 4.5 days/wk. (no after-hour calls)
? Manageable caseload (50-60 cases, not 100 )
? Professionalism: No harassing calls from claimants, attorneys, or rental car companies
? Total Annual Compensation: up to $115k (based on experience)

(base salary, annual bonus, monthly car, internet, phone allowance
? Benefits: Insurance (85% employer-paid for employee dependents), FSA, 6% 401k match, PTO

Overview:
? Start-to-finish, Manage & Investigate minimal to high-exposure medical claims
? Work with a supervisor to close cases

Required:
? Min. 1-3 yrs of complex Medical Malpractice, Casualty, or Bodily Injury claims experience
? Detail-oriented, Strong organizational skills
? Excellent communication & judgment
? Self-starter, can work remotely
? Valid driver's license, ability to travel 25%
? Field experience (preferred)
? Education Minimum: Completion of High-school or GED equivalent

Initial Claim Handling:
? Take 1st notices, review instructions
? Assess coverage
? Select defense counsel
? Make service provider & reserve recommendations
? Prepare communication to insured & counsel
? Report claims to regulatory bodies as needed

Manage Claim:
? Organize & review medical records
? Interview insured & claimants, summarize
? Select consultants, attend depositions
? Monitor reserves, prepare management reports
? Evaluate settlement value, prepare for settlement
? Enter data, review, pay bills

Claim Resolution:
? Discuss settlement, obtain consent
? Log trial dates, prepare Request for Authority
? Prepare strategy, attend mediations, monitor trial
? Close file after final payments, document

If this sounds like a great opportunity with a stable and growing company that promotes a work-life balance, you are encouraged to apply asap.

Job Type: Full-time

Pay: $85,000.00 - $115,000.00 per year

Benefits:
? 401(k) matching
? Dental insurance
? Flexible spending account
? Health insurance
? Paid time off
? Vision insurance
? Work from home

Schedule:
? Monday to Friday

Application Question(s):
? How many years of Casualty, Bodily Injury, or Medical Malpractice Insurance do you have?
? Are you a self-starter who is comfortable working remote?
? Do you attend trials and mediations?
? Do you have a valid driver's license and active car insurance?

Work Location: On the road

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