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JOB REQUIREMENTS: Cities & Villages Mutual Insurance Company Med-OnlyClaims Specialist Wauwatosa, WI Salary: $52,312 - $70,033 Under thegeneral supervision of the Worker's Compensation Claims Manager, thisposition is responsible for investigating, processing, and adjustingmed-only worker's compensation claims. WHY JOIN THE CVMIC TEAM: Theability to make a difference to internal and external customers Greatvariety in what you do each day in a fast-paced environment Flexibilitywith your schedule A supportive team environment Outstanding benefitsthat include: Company-paid retirement contribution into a SEP Plan(12.1% of salary, after one year of employment) Company-paid healthinsurance monthly premiums Tuition reimbursement for continuingeducation View what employees say about working here Essential Duties &Responsibilities Sets up new medical-only files for vestigates and processes payments on medical-only claims in anaccurate and timely manner; investigates and processes payments. Reviewsfirst report of injury forms (WC-12) and follows up with claimant,insured, medical providers, or others in a timely manner to determinecompensability. Enters workers' compensation claims information intoOrigami (Claims System) in an accurate and timely manner. Interviews,telephones, or corresponds with member representatives, memberemployees, supervisors, claimants, witnesses, and medical personnel;reviews medical and hospital records in a timely manner to determinecompensability while maintaining required confidentiality. Maintains andupdates claim files with current diaries, file notes, and treatmentplans in the claims system. Reviews and pays medical bills; Submitsmedical bills for third-party review. Researches and resolves medicalbills billed to the claimant or sent to collection on the claimant'sbehalf. Processes and releases payments for Incentive Program toclaimants. Monitors claims to identify and follow-up on subrogationopportunities. Refers chiropractic claims to a chiropractor for review.Handles or refers telephone, written, and e-mail inquiries from membersand others. Composes and edits routine correspondence. Other Duties &Responsibilities Attends Restitution Hearings. Learning and maintainingknowledge of the Medicare (CMS) process and identifying claims that areeligible. Assists the Administrative Assistant as needed. QualificationsHigh school diploma and the equivalent of one year of technical orbusiness school training; and One to three (1 3) years relatedexperience, or equivalent combination of education and experience.Knowledge, Skills & Abilities To perform this job successfully, anindividual must be able to perform each essential duty satisfactorily.The requirements listed below are representative of the... For fullinfo follow application link. MRA is an Equal Opportunity/AffirmativeAction Employer APPLICATION INSTRUCTIONS: Apply Online:ipc.us/t/F346EEE2B00F421D