Workers’ Compensation Medical Only Claims Representative (Adjuster)

Minnesota Counties Intergovernmental Trust (MCIT)

Job Details

• Full time, nonexempt
• Location: St. Paul, Minn., office

Benefits

MCIT offers a competitive benefits package including:

• Public Employees Retirement Association (PERA) pension and optional Section 457(b) deferred compensation program Group health and dental insurance Paid vacation and sick leave 12 paid holidays Public Service Loan Forgiveness program eligibility: MCIT employees may qualify for this federal program to forgive student loan debt Employer-paid short- and long-term disability insurance Employer-paid life insurance Optional employee-paid life and vision insurance Free off-street parking provided

Job Description

The workers’ compensation medical only claims representative is key to helping MCIT carry out its mission of providing cost-effective coverage with comprehensive and quality risk management services to its members by efficiently and effectively adjusting workers’ compensation claims.

MCIT is a joint powers government entity made up of Minnesota counties and associated public entities that pool resources to provide property, liability, auto and workers’ compensation coverage to members. MCIT offers a collaborative work environment and excellent benefits, including a pension plan.

Core Responsibilities

Under the direction and supervision of the workers’ compensation claims manager, the medical only claims representative is responsible for making payments to physicians, clinics, hospitals, pharmacies and other associated entities for medical treatment of injured employees of MCIT members in cases where no indemnity payments for lost time are required. 

Typical Duties

The following are common duties of the medical only claims representative:

• Receive and review all notices and information from MCIT members regarding work-related injuries and illnesses as assigned by the claims manager. Make initial contact with the employer on a new claim to confirm that the employee has not lost time due to the injury. Make contact with the employer, claimant and/or physician to obtain clarification when appropriate. Receive, review and authorize payment(s) for invoices received from health care providers in claims where no indemnity payment is required and from injured employees for mileage to medical appointments and health care for a work-related injury or illness. Confer with nurse case manager when the mechanism of injury or treatment is questionable.
• Obtain prior medical records necessary or advised by the nurse case manager or physician consultant.
• Communicate claim activity and processing to the claimant and the member.
• Calculate and establish timely and appropriate reserves for claims administered by MCIT. Advise the claims manager of claims that have the potential of subrogation and restitution; file affidavits of restitution when appropriate and follow up.

Required Qualifications

• High school diploma or equivalent Minimum one year of Minnesota workers’ compensation claims handling experience, preferably with a self-administered program or a third-party administrator, or equivalent experience.

Preferred Qualifications

• Two to four years of Minnesota workers’ compensation claims handling experience, preferably with a third-party administrator Experience working in paperless/electronic environment

Desired Qualifications

• Familiarity with medical terminology and basic claims investigation techniques

Download the Workers’ Compensation Medical Only Claims Representative Position Description for a full list of duties, responsibilities and requirements.

Apply Now

• Applicants must apply through the MCIT website at MCIT.org/employment-opportunities/. All applicants must complete an online application and provide a cover letter and resume. Resumes without applications and cover letters will not be accepted.] Application deadline: Open until filled

Direct questions to Linda Podritz at lpodritz@mcit.org or 651.209.6400.

MCIT is an equal opportunity employer.