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Kentucky Staffing

Medical Claims Specialist

Kentucky Staffing, Frankfort, Kentucky, United States, 40601

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Medical Claims Specialist

We're seeking a Direct Hire Medical Claims Specialist to work at a company in Frankfort, KY (40601). Experience: Six (6) years of claims management experience or equivalent combination of education and experience required. Bachelor's degree from an accredited college or university preferred. Extensive knowledge of the Commercial General Liability policy. Significant experience in evaluating commercial liability coverages, preparing disclaimers and reservation of rights letters. Experience as a subject matter expert for commercial liability coverages. If candidate is an Attorney, then 5+years of relevant experience (OR) if candidate is an Examiner, then 10+years of relevant experience. $100k - $110k Direct Hire Monday-Friday 8:30am-5pm Remote Negotiates claim settlement up to designated authority level Analyzes and processes complex or technically difficult medical malpractice claims by investigating and gathering information to determine the exposure on the claim Conducts or assigns full investigation and provides report of investigation pertaining to new events, claims and legal actions Coordinates legal defense by assigning attorney, coordinating support for investigation, and reviewing attorney invoices; monitors counsel for compliance with client guidelines Recommends settlement strategies; brings structured settlement proposals as necessary to maximize settlement Related job titles: Claims Examiner, Claims Manager, Claims Supervisor, Claims Consultant As part of our promise to talent, Kelly supports those who work with us through a variety of benefits, perks, and work-related resources. Kelly offers eligible employees voluntary benefit plans including medical, dental, vision, telemedicine, term life, whole life, accident insurance, critical illness, a legal plan, and short-term disability. As a Kelly employee, you will have access to a retirement savings plan, service bonus and holiday pay plans (earn up to eight paid holidays per benefit year), and a transit spending account. In addition, employees are entitled to earn paid sick leave under the applicable state or local plan. Why Kelly? Helping you find what's next is what we're all about. We know what's going on in the evolving world of workjust ask the 440,000 people we employ each year. Connecting with us means getting the support, guidance, and opportunities needed to take your career where you may have never imagined. About Kelly Work changes everything. And at Kelly, we're obsessed with where it can take you. To us, it's about more than simply accepting your next job opportunity. It's the fuel that powers every next step of your life. It's the ripple effect that changes and improves everything for your family, your community, and the world. Which is why, here at Kelly, we are dedicated to providing you with limitless opportunities to enrich your lifejust ask the 300,000 people we employ each year. Kelly is committed to providing equal employment opportunities to all qualified employees and applicants regardless of race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, age, marital status, pregnancy, genetic information, or any other legally protected status, and we take affirmative action to recruit, employ, and advance qualified individuals with disabilities and protected veterans in the workforce. Requests for accommodation related to our application process can be directed to the Kelly Human Resource Knowledge Center. Kelly complies with the requirements of California's state and local Fair Chance laws. A conviction does not automatically bar individuals from employment. Kelly participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. Kelly Services is proud to be an Equal Employment Opportunity and Affirmative Action employer. We welcome, value, and embrace diversity at all levels and are committed to building a team that is inclusive of a variety of backgrounds, communities, perspectives, and abilities. At Kelly, we believe that the more inclusive we are, the better services we can provide. Requests for accommodation related to our application process can be directed to Kelly's Human Resource Knowledge Center. Kelly complies with the requirements of California's state and local Fair Chance laws. A conviction does not automatically bar individuals from employment.