Medical Adjuster

Find your calling at Mercy!

The purpose of this position is to provide assistance to WC Coordinators by answering questions and requesting more information when needed to determine compensability of a claim. As the 'gatekeeper' for the WC program, this position is essential in ensuring Mercy is consistent with application of state(s)regulations and claims handling across the Mercy System. Handling medical only claims and working as a team member with the Mercy Adjusters who handle lost time and litigated claims.

Position Details:

This is a REMOTE Full-Time position

This role supports workers’ compensation claims from initial reporting through resolution, partnering with injured co-workers, leaders, medical providers, and the Workers’ Compensation team. Responsibilities include claim investigation, medical coordination, documentation, payment review, and ensuring claims are handled timely and in accordance with state requirements.

MINIMUM QUALIFICATIONS:

Education: High School Diploma

Experience: 3 years prior insurance or workers' compensation claims handling

Other:

• The ability to professionally communicate both verbally and in writing.
• Must be able to work independently making decisions in compliance with state and federal laws and Mercy's policies/best practices.

PREFERRED QUALIFICATIONS:

Licensure: Licensure in states where Mercy operates

Preferred Experience:

- A background in insurance and claims

- Basic knowledge of workers' compensation structure and specific knowledge of MO, AR, OK and KS WC regulations knowledge of OSHA, Legal, and medical terminology.

• Background in the medical field

Why Mercy?

From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.

Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.

Originally posted on Himalayas