Worker's Compensation Negotiator

The Enlyte Family of Businesses

Mitchell | Genex | Coventry

Enlyte is the parent brand of Mitchell, Genex and Coventry, an organization unlike any other in the Property & Casualty industry, bringing together three great businesses with a shared vision of using technology innovation, clinical services and network solutions to help our customers and the people they serve. Our suite of products and services enable our employees to help people recover from challenging life events, while providing opportunities for meaningful impact and career growth.

We are seeking an experienced Negotiator to join our Casualty Solutions Group, focusing on workers' compensation cases. This role involves conducting back-end negotiations with attorneys to resolve complex claims efficiently and cost-effectively. The ideal candidate will bring a strong background in medical coding, network negotiations, provider-side experience, or paralegal work to this challenging position.

Key Responsibilities:

• Conduct back-end negotiations with attorneys on workers' compensation claims
• Analyze complex medical and legal documents to determine appropriate negotiation strategies
• Collaborate with internal teams to ensure optimal claim outcomes
• Prepare and present detailed reports on negotiation activities and outcomes
• Maintain up-to-date knowledge of workers' compensation laws and regulations
• Utilize negotiation skills to achieve favorable settlements while maintaining positive relationships
• Manage a high-volume caseload efficiently and effectively
• Contribute to the development and implementation of negotiation strategies and best practices

Required:

• High school diploma or equivalent
• 2+ years of relevant experience, which can include but is not limited to workers' compensation, medical coding, network negotiations, or paralegal work
• Strong analytical and problem-solving skills
• Excellent verbal and written communication abilities
• Proficiency in Microsoft Word and Excel
• Demonstrated ability to be assertive in negotiation situations
• High attention to detail and accuracy
• Ability to work independently and as part of a team

Preferred Qualifications:

• CPT certified coder
• Background in healthcare provider operations
• Paralegal certification or experience

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