Are you comfortable contacting physicians regarding claims involving injuries?
When it comes to claims adjusters, there are different types who work closely with physicians depending on the nature of the claim. For medical claims, there are medical claims adjusters who have specialized knowledge and experience in the medical field. They work closely with physicians to ensure that the claim is handled properly and that the injured party receives the medical attention they need. Additionally, there are also workers' compensation claims adjusters who work with physicians to determine the extent of an employee's injury and the proper compensation they are entitled to.
The interviewer wants to know if you bring experience with engaging physicians from previous roles. Your ability to interact with physicians confidently and professionally will significantly impact your success if hired for the position. It is essential to have a good understanding of medical terminology and be comfortable asking questions to gather the necessary information. Talk to the interviewer about when you had to work directly with a doctor on a claim and how you felt comfortable doing so.
"Yes, I am. Last week, I was asked to research a claim that called for a conversation with the physician. I was able to relay the information to him, and he confirmed and denied any parts of the claim. I find that you need to be fast-paced and concise in your communication with physicians as they are swamped."
"I have not worked at this level yet. However, I am confident in my ability to speak with physicians concisely and professionally. I would gladly accept any additional training from your senior adjusters in this area. I come willing to learn and improve!"
"Yes, I have worked with physicians on many claims during my nine-year career as an adjuster. I am more than comfortable speaking with professionals at any level. With physicians, I have found that you need to be well-organized and to the point. Showing respect for their extraordinarily busy days is key to communication with them."
Community answers are written by other candidates practicing this set. Reading how others frame the same question is one of the fastest ways to sharpen your own.
Anonymous Answer
I am very comfortable contacting physicians. I have worked on many files that require detailed written orders & I reached out daily to physicians to obtain them. Also, I would reach out to physicians to clarify injuries & diagnoses to make sure we were fulfilling the request with the correct items & scheduling the correct exams.
Rachelle's Feedback
Great examples of your related work. Your response is confident and to the point. Well done.
Anonymous Answer
I am comfortable contacting physicians and their staff. I have several years of experience contacting physicians for info and authorizations. I've learned it is best to be polite, professional, and have questions organized to make these calls as quick as possible; their time is valuable and they expect it to be treated as such.
Marcie's Feedback
Great! Discussing your experience in this area and explaining what you do to make the calls go smoothly and efficiently shows that you are knowledgeable and capable. Providing a specific example of a time when you worked with a physician in this capacity would strengthen your answer.
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