Claims Specialist

WRS Group is a medical cost containment company that specializes in managing worker's compensation claims. They are seeking a full-time Claims Specialist to serve as the primary contact for customer support, facilitate resolution of open receivables, and maintain accurate documentation of claims files. Responsibilities Serve as primary contact for inbound and outbound customer support by phone, email, or instant message Facilitate resolution of open receivables by review of coding, product, contract, payment agreement, fee schedule and/or authorization terms Work independently and as part of a team on invoice renegotiations, vendor management, and provider and patient relations Review EOB’s and address denial and partial payment of invoices in a timely and accurate manner Maintain accurate documentation of workers compensation claim files in multiple databases Ensure quality components of service delivery and patient/payor satisfaction with services provided Establish and maintain strong vendor relationships Participate in process for continuous credentialing and quality monitoring of assigned accounts Work with team to conduct cost analysis and identify margin opportunities Demonstrate performance aligned with WRS guiding principles, including caring, collaboration, trustparency, and innovation Skills High School Diploma (or equivalent); college degree preferred 1+ year experience in a medical setting preferred A customer focused approach to tasks and responsibilities Must be analytical and solution-oriented with excellent problem-solving abilities, superior follow-up skills, and the ability to shift gears frequently throughout the day Intermediate MS Suite, typing and email skills Excellent verbal and written communication skills Familiarity of workers compensation state fee schedules preferred Benefits 401(k) Dental insurance Health insurance Paid time off Parental leave Vision insurance Company Overview At WRS, we believe in a smarter way to manage pain. It was founded in undefined, and is headquartered in Ann Arbor, Michigan, USA, with a workforce of 51-200 employees. Its website is