Claims Clerk, Sr. jobs in Atlantic City, NJ

The Enlyte Family of Businesses

Mitchell | Genex | Coventry

Enlyte is the parent brand of Mitchell, Genex and Coventry, an organization unlike any other in the Property & Casualty industry, bringing together three great businesses with a shared vision of using technology innovation, clinical services and network solutions to help our customers and the people they serve. Our suite of products and services enable our employees to help people recover from challenging life events, while providing opportunities for meaningful impact and career growth.

• Evaluate claimant eligibility; communicate with attending physician, employer and injured worker.
• Work with both the claimant and their physician to medically manage the claim, from initial medical treatment to reviewing and evaluating ongoing treatment and related information.
• Work directly with employers to facilitate a return to work, either on a full-time or modified duty basis.
• Identify potential for third party recovery, including subrogation, Second Injury Fund or other fund involvement (when applicable) and excess or reinsurance reimbursement.
• Pursue the process of reimbursement and complete posting of recovery to the claim file, where appropriate.
• Establish compensability status through case investigation and evaluation and application of jurisdictional statutes and laws.
• Manage diary in accordance with Best Practices and complete tasks to ensure that cases move to the best financial outcome and timely resolution.

Minimum Education: High School diploma or equivalent

Required Skills and Experience: 1-3 years experience of the basic knowledge of NJ Workers' Comp claims

Desired Skills and Experience: Knowledge of Medical Terminology.

Basic Computer Skills

PI240291955