Medical Only Claims Specialist

. Manage non-complex and non-problematic medical-only Workers’ Compensation claims under close supervision .

Posted 10/15/2026full-timeRemote • Oregon • United StatesJunior💰 $17 - $27 per hourWebsite

Key responsibilities & impact

Manage non-complex and non-problematic medical-only Workers’ Compensation claims under close supervision
Receive Workers’ Compensation claims and confirm policy coverage and claim acknowledgement
Determine claim validity and compensability
Establish reserves and authorize payments within established reserving authority limits
Communicate claim status with customers, claimants, and clients
Adhere to client and carrier guidelines
Participate in claims reviews as needed
Assist other claims professionals with more complex or problematic claims
Perform additional duties as assigned

What you’ll need

Bachelor's degree or a combination of education and related experience
Minimum of 1 year industry experience and claim handling
Workers’ Compensation experience required
Licensed as required jurisdictionally
Excellent customer service skills
Excellent written and verbal communication skills
Fast learner; develops knowledge and understanding of claims practice, relevant statutes, and medical terminology
Ability to identify, analyze and solve problems
Computer proficiency and technical aptitude to utilize Microsoft Office, including Excel spreadsheets
Strong interpersonal, time management, and organizational skills
Ability to work both independently and within a team environment

Comp & perks