[Hiring] Medical-Only Claim Representative @SFM - The Work Comp Experts

Role Description

At SFM, the Medical Only Claims Representative investigates workers' compensation claims to assess whether medical treatment for injured workers is compensable. You will play a critical role in evaluating workplace injuries and assist employees and employers throughout the claims process. This position involves:

• Reviewing the validity of claims.
• Gathering relevant medical documents.
• Collaborating with the employer and healthcare providers to ensure that the injured workers' medical expenses are paid in accordance with the State's guidelines and SFM’s best practices.
• Providing a successful and efficient resolution of the claim.
• Using strong communication and critical thinking skills.
• Delivering excellent customer service to all parties involved in the claims process.
• Working collaboratively within a multifunctional team.

SFM is committed to providing you with the training you need to be successful and help you develop your skills to grow professionally. This position is a great way to jump start your career at SFM and learn the ins-and-outs of claims handling. Applicants must live in Iowa.

Qualifications

• Bachelor's degree preferred.
• Associate’s degree or two years’ business experience, preferably in an insurance environment, medical office, or customer service environment is acceptable.
• One or more years handling casualty claims, PIP claims or workers’ compensation claims, preferred.
• Must be detail-oriented.
• Excellent customer service skills, and the ability to work well within a team environment.
• Excellent problem solving and decision-making skills.
• Strong verbal and written communication skills.
• Ability to conduct research, assimilate and interpret complex information from a variety of sources.
• Ability to work in a fast-paced environment and manage multiple projects and deadlines with limited supervision.

Requirements

• Regular attendance is required.
• Work takes place in a semi paperless environment within an office setting, either on business premises or other remote location.
• Using standard office equipment such as computers, phones, and copiers, which requires being stationary for extended periods of time.
• Ability to occasionally lift office products and supplies, up to 20 pounds.
• Work is performed indoors with little to no exposure to extreme outdoor weather conditions.

Benefits

• Comprehensive medical, dental, and vision coverage (plus HSA/FSA options).
• Significant Cash Benefit if You Opt Out of Our Health Plan.
• Flexible hybrid work environment.
• 401(k) with both Traditional and Roth options + company match.
• Contributions toward student loan repayment.
• Generous PTO, 9 paid holidays, and paid parental leave.
• Monthly home internet allowance.
• Free life insurance, short-term & long-term disability coverage.
• Incentive bonus opportunities.
• Adoption financial assistance.
• Pet insurance.
• Annual company-wide volunteer day.
• Discounts on gyms, fitness apps, and wellness programs.