We are seeking a driven, detail-oriented Litigated Claims Specialist. If you are driven to achieve, here is your chance to be part of a stable, strong growing company and be rewarded for your hard work and contributions towards company goals and objectives. IWP is a national pharmacy service working on behalf of injured individuals. We are a market leader and rapidly expanding resource to injured patients and their advocates. When you join our fast-paced winning team, you’ll share in the continued success of a profitable, thriving, and unique pharmacy service.
WHAT YOU'LL DO
- Investigate/rectify partial payments from claims in litigation
- Secure payment on outstanding invoices
- Investigate claim that are in litigation
- Assess current and ongoing risk of continued medications service in relation to ongoing litigation
- Research and act upon information obtained
- Interact and communicate daily with other departments
- Communicate with external sources such as attorneys and adjusters
- Obtain medical documentation to facilitate/warrant collections
- Analyze information and data for resolution
- Participate and develop special processes/procedures to better the Litigated Claims Team
- Special projects as designated by manager
Required Skills
WHAT YOU’LL NEED
- Strong leadership skills
- Strong verbal and written communication skills
- Detail orientated
- Creative thinker - "thinks outside of the box"
- Problem solving, creative thinker
- Sales and persuasiveness skills
- Negotiation skills
- 2+ years Workers Compensation knowledge
- Bachelor’s Degree or equivalent related experience
- Familiar with medical terminology
- Knowledge of databases and MS Office (Excel & Word)
- Knowledge of IWP reimbursement process and procedures
Required Experience