the smart solution for Cleveland jobs

Claims Adjuster - Medical Only

Company: National Interstate
Location: Richfield
Posted on: July 13, 2018

Job Description:

OverviewNational Interstate is a member of Great American Insurance Group. As one of the leading commercial transportation insurers in the nation, we offer risk financing solutions in all 50 states tailored to meet the needs of a wide variety of transportation classes. Our offerings include traditional insurance and innovative alternative risk transfer (ART) programs, including more than a dozen group captive programs catering to niche wheels markets. We are proud to be a multiple Northcoast 99 winner and Cleveland Plain Dealer Top Workplace in Northeast Ohio. It is because of our talented and dedicated team that we are able to live out our company values of integrity, transparency, fairness, accountability, empowerment and collaboration with each transaction we make. If you are ready to join an engaging and driven team such as ours, we would love to hear from you!Responsibilities

  • Manage all workers' compensation, med pay and no-fault claims to effectively and timely provide benefits to an injured worker when due under the requisite state laws
  • Initiate timely contact with the employer, injured worker, medical provider, and any other persons involved
  • Maintain communication with the insured, injured worker, and medical provider throughout the claim
  • Review and remain updated on all current laws and necessary forms
  • Read and understand applicable insurance policy language in order to determine if the alleged injury is covered by the policy
  • Analyze the claim potential and exposure in order to reserve to the maximum probable exposure
  • Refer all medical bills to vendors for bill review, audits and/or peer reviews, and ensure all bills are paid or denied within the allotted time frames for each jurisdiction
  • Assign, monitor, and direct defense counsel in settlement negotiations and claim handling to effectively bring the claim to resolution
  • Maintain an organized file, documented with clear and concise notes of activities and action plans to allow for easy review of the file by supervisors, auditors, etc.
  • Maintain a diary so all claim files are monitored and reviewed on a timely basis
  • Perform other duties as assigned


    • High School Diploma or General Education Degree
    • One or more years work experience in either the insurance or medical industries
    • Preferred work experience in either workers' compensation or no-fault claims
    • Preferred 1-2 years of customer service work experience with direct contact with the public
    • Working knowledge of Microsoft Office; experience is strongly preferred in the Word, Excel, and Outlook functions
    • Must have strong analytical and reasoning skills

      Keywords: National Interstate, Cleveland, Claims Adjuster - Medical Only, Healthcare, Richfield, Ohio

      Click here to apply!

      Didn't find what you're looking for? Search again!

      I'm looking for
      in category

Other Healthcare Jobs

Health Care Associates FT/PT
Description: Immediate Openings. Now Interviewing Nationwide Health Benefits Company is seeking homeworkers.
Company: Freedom2BHome
Location: Dearborn
Posted on: 07/22/2018

Medical Technologist - General Laboratory
Description: Job ID: 246321 Medical Technologist - General Laboratory Detroit, Michigan Regular Additional Job Information Title:--Medical Technologist 1City, State:-- Detroit,MILocation:-- StJohnHospital MedCen - (more...)
Company: St. John Providence, MI
Location: Detroit
Posted on: 07/22/2018

Travel Registered Nurse - Coronary Care Unit (CCU) (Highland Park,MI)
Description: Registered Nurses Only Seasonal Nationwide Travel Nurse Jobs - All RN Specialties Use our short More Information request form to get the information needed to choose your next great nursing opportunity. (more...)
Company: HealthCare Traveler Jobs
Location: Highland Park
Posted on: 07/22/2018

Physician - Assistance is Needed from Temporary Urgent Care Physician in Ohio
Description: An Ohio clinic needs full-time urgent care coverage. The provider will work 9 am - 9 pm on weekdays and 9 am - 5 pm on weekends between several locations in need of support. The
Company: Weatherby Healthcare
Location: Cleveland
Posted on: 07/22/2018

Travel Registered Nurse - Coronary Care Unit (CCU) (Inkster,MI)
Description: Registered Nurses Only Seasonal Nationwide Travel Nurse Jobs - All RN Specialties Use our short More Information request form to get the information needed to choose your next great nursing opportunity. (more...)
Company: HealthCare Traveler Jobs
Location: Inkster
Posted on: 07/22/2018

Registered Nurse (RN) - 13 wk Michigan contract
Description: Cross Country TravCorps has your next Travel Nurse contract waiting for you in Michigan. Positions fill quickly so contact us today for current openings.Great positions
Company: Cross Country TravCorps
Location: Franklin
Posted on: 07/22/2018

Inpatient Medical Coder - Urgent Notice!
Description: PT FT to work at home. Pay DOE. You must be certified through AAPC or AHIMA - CCS, CPC,
Company: Mommy Jobs Online
Location: Dearborn Heights
Posted on: 07/22/2018

Optometrist Position - Akron, OH area " Full time
Description: Full time position for a candidate with strong medical optometry skills and a passion for both medical and routine care. Looking for an optometrist to take on an existing caseload. Prefer candidates that (more...)
Company: The Eye Group
Location: Cleveland
Posted on: 07/22/2018

Flexible Scheduling - Hiring Immediately // Certified Nursing Assistan
Description: SYNERGY HomeCare of Cleveland, Akron and Youngstown is a non-medical, non-skilled home care agency looking for caring, compassionate, and trustworthy
Company: Synergy HomeCare
Location: Medina
Posted on: 07/22/2018

RN Registered Nurse - Float
Description: Job ID: 248387 RN Registered Nurse - Float Warren, Michigan Regular Additional Job Information Title:--RN FloatCity, State:-- Warren,MILocation:-- St John Macomb Hospital -34023Department:---- Nursing (more...)
Company: St. John Providence, MI
Location: Warren
Posted on: 07/22/2018

Log In or Create An Account


Forgot password?

Find us on Facebook

Find us on LinkedIn

Get the latest Ohio jobs by following @recnetOH on Twitter!

Cleveland RSS job feeds