Back to Jobs

Utah-based, Remote, Exp. Medical Insurance Claims Representative (Similar to Examiner, Adjuster)

Remote, USA Full-time Posted 2025-11-03
I am recruiting for a Utah, Remote, Business Medical Claims Representative for an 80-person, A-rated insurance company & think you may be a great fit. (Similar job titles Casualty/Injury Claims Examiner, Adjuster) You must be located in Utah or willing to relocate immediately or you will be rejected. Why consider joining? • Stability with career advancement • Work-life balance: 8:30a-5p/7:30a-4p, or 4.5 days/wk. (no after-hour calls) • Manageable caseload (50-60 cases, not 100 ) • Professionalism: No harassing calls from claimants, attorneys, or rental car companies • Total Annual Compensation: up to $115k (based on experience) (base salary, annual bonus, monthly car, internet, phone allowance • Benefits: Insurance (85% employer-paid for employee dependents), FSA, 6% 401k match, PTO Overview: • Start-to-finish, Manage & Investigate minimal to high-exposure medical claims • Work with a supervisor to close cases Required: • Min. 1-3 yrs of complex Medical Malpractice, Casualty, or Bodily Injury claims experience • Detail-oriented, Strong organizational skills • Excellent communication & judgment • Self-starter, can work remotely • Valid driver's license, ability to travel 25% • Field experience (preferred) • Education Minimum: Completion of High-school or GED equivalent Initial Claim Handling: • Take 1st notices, review instructions • Assess coverage • Select defense counsel • Make service provider & reserve recommendations • Prepare communication to insured & counsel • Report claims to regulatory bodies as needed Manage Claim: • Organize & review medical records • Interview insured & claimants, summarize • Select consultants, attend depositions • Monitor reserves, prepare management reports • Evaluate settlement value, prepare for settlement • Enter data, review, pay bills Claim Resolution: • Discuss settlement, obtain consent • Log trial dates, prepare Request for Authority • Prepare strategy, attend mediations, monitor trial • Close file after final payments, document If this sounds like a great opportunity with a stable and growing company that promotes a work-life balance, you are encouraged to apply asap. Job Type: Full-time Pay: $85,000.00 - $115,000.00 per year Benefits: • 401(k) matching • Dental insurance • Flexible spending account • Health insurance • Paid time off • Vision insurance • Work from home Schedule: • Monday to Friday Application Question(s): • How many years of Casualty, Bodily Injury, or Medical Malpractice Insurance do you have? • Are you a self-starter who is comfortable working remote? • Do you attend trials and mediations? • Do you have a valid driver's license and active car insurance? Work Location: On the road Apply Job!  

Similar Jobs