Medical Claims Specialist

The Medical Claims Specialist will successfully complete the Medical Claims Training Program, and will then successfully manage a caseload of workers’ compensation medical claims from inception to resolution. Learns medical subjects including anatomy, physiology, terminology, pharmacology, causation, nature of injury, and diagnostic and treatment methodology. Learns legal subjects including relevant statutes and regulations. Learns to effectively and efficiently use the computer systems employed in the management of claims. Learns skills such as investigative and persuasive communication, decision-making, and documentation. For clients who are provided with a dedicated Claims Medical Specialist, establishes and maintains a sound working and communication relationship with the client’s contact personnel. Determines coverage for new claims. Conducts and directs the investigation of new claims to determine compensability and severity and to gather all other relevant information.

According to JobzMall, the average salary range for a Medical Claims Specialist in 3555 Farnam St, Omaha, NE 68131, USA is $33,743 to $45,466 per year.

Berkshire Hathaway, Inc. engages in the provision of property and casualty insurance and reinsurance, utilities and energy, freight rail transportation, finance, manufacturing, retailing, and services. It operates through following segments: GEICO, General Re, Berkshire Hathaway Reinsurance Group, Berkshire Hathaway Primary Group, Burlington Northern Santa Fe, LLC, Berkshire Hathaway Energy, McLane Company, Manufacturing, Service and Retailing, and Finance and Financial products.