Job Description

Who We Are



Chesapeake Employers' Insurance Company is a purpose-driven organization dedicated to improving the lives and livelihoods of our policyholders, injured workers, team members, and the community. As a leading workers' compensation specialty insurer in the mid-Atlantic region, we take pride in being a force for good. Our 350 team members are committed to making a positive impact every day in the lives of all our stakeholders. Join our motivated, professional team as we foster a culture of values, teamwork, innovation, and collaboration. Established in 1914, Chesapeake Employers Insurance, headquartered in Towson, Maryland, has over a century of experience, a strong financial foundation, and an "A" rating from AM Best.



Position Summary

Processes medical and specialty vendor bills and reimbursements to claimants in accordance with the Workers' Compensation Commission Fee Guide or Chesapeake Employers' contracted pricing, following established Chesapeake policies and procedures. Serves as a resource for training and assists team leads in daily operational activities.

Duties and Responsibilities

Performs data entry of bills submitted for processing by accurately recording the required information into the correct fields in WCIS. Processes physicians' bills. Determines if charges are related to accepted claims through knowledge of medical diagnostic coding and review of accepted body parts; denies unrelated bills or charges. Processes bills submitted for medical treatment in accordance with established Chesapeake policies and the WC Fee Guide. Reviews the claims notepad for authorizations and notes regarding billing issues as indicated; uses judgment in referring bills to adjusters if further investigation is warranted. Accepts or denies charges while selecting appropriate reason codes. Responds to inquiries from claimants, medical providers, and company personnel regarding payment, denial of payment, or clarification required for completion of processing. Meets departmental guidelines for productivity and accuracy in processing medical bills. Attends web-based training to develop in-depth knowledge in specific specialty areas to maintain industry-standard practices. Assists coders in resolving consideration requests as needed. Assists with quality audits.

Skills, Education and Experience

High School Diploma or equivalent required. 2-3 years of experience in bill processing. PC skills, including Excel familiarity. Excellent communication skills, both verbal and written. Knowledge of ICD-9, ICD-10, and CPT coding. Familiarity with medical terminology. Bilingual skills preferred. CPC preferred; CPC certification required within three years of employment.

Positional Competencies

Bias for Action Knowledge Sharing Deliver Results Service and Sales Excellence Personal Leadership Teamwork and Communication

Physical Demands

While performing the duties of this job, the employee is regularly required to sit and use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms. The employee is occasionally required to stand, walk, stoop, kneel, crouch, or crawl, and may occasionally lift up to 30 pounds. Specific vision abilities required include close vision, peripheral vision, and the ability to adjust focus.

Work Environment

Office environment. The noise level is usually moderate.



What We Offer



We offer a competitive benefits package that includes health, vision, and dental coverage, a robust PTO plan, an 8% employer contribution to retirement regardless of team member contribution, educational assistance, and opportunities to participate in team member appreciation events. Additionally, we provide STD, LTD and group life insurance 1X a team members salary. You'll also enjoy free tickets to community attractions, all part of our commitment to providing a high quality of work life. You will have the flexibility to thrive in a hybrid work environment and an opportunity to participate in development and volunteer programs.