bmc

Orthopedic Surgery Workers Compensation Specialist

Boston · Full-time

Sponsorship not specified$25k-$37kDetected 6 days ago

AccountingCompensationCommunicationCollaborationProblem SolvingCritical ThinkingMicrosoft OfficeClaims Management

About the role

Communicating with employees, managers, insurance carriers, medical providers, surgeons, attorneys, legal representatives, and upper management regarding workers comp issues
In collaboration with our Billing Director, responding to claim investigations, settlements, and litigations.
Keeping up-to-date with and closing the communication loop regarding claims processing, status, and denials

Developing, maintaining, and managing our internal workers' comp program
Under direct supervision of the Operations Supervisor, the WCS provides clerical and administrative support to the orthopedic patients with musculoskeletal work-related injuries covered by "worker's compensation" insurance.
The WCS processes data, generates routine reports and provides direct and timely support to claim representatives and patients.
Additionally, the WCS maintains office records, appointments, and calendars.

The job requires a minimum of three years of clerical and insurance management experience.
In addition the ideal candidate will also possess at least one year work comp adjuster or case manager experience.
Experience in the Orthopedic clinical setting a plus.
Workers Compensation Analyst certification preferred but not required.
Associates degree in a Business/Legal related field.
Bachelors preferred.

Knowledge of administration of workers' compensation program and applicable laws
Ability to interpret, explain and disseminate information to individuals and groups
Effective communication and interpersonal skills
Organizational and communication skills.
Knowledge of basic accounting principles.
Ability to work well with external parties as well as co-workers.
Strong critical thinking and analytical abilities.
Ability to effectively present information in one-on-one and small group situations.
Strong organizational analytical and problem solving skills.
The ability to coordinate multiple projects with varying and changing priorities and to meet deadlines.
Have the ability to work independently and collaboratively and possess strong customer-service
Updating our internal workers compensation database (weekly), and producing monthly updated active case reports

However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer.
In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being.

Scheduling and managing appointments (routine follow-ups, IMEs, etc.), and assisting the Medical Providers with scheduling depositions, court appearances, etc.
This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness.

Employer/Disabled/Veterans
According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or "apps" job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.
According to the FTC, there has been a rise in employment offer scams.
Our current job openings are listed on our website and applications are received only through our website.

This listing is sourced directly from bmc's careers page and normalized into a canonical job model.