Compensation Claims Assistant

Job Description

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• Sets up and enters new claims into claims management system

• Calculates wage statements

• Timely processing of disability benefits, award checks and medical reimbursements to injured workers

• Timely processing of settlement documents, UR Referrals, IMR responses, statutory benefit notices, medical objection letters including initiation of PQME notices

• Responsible for office tasks such as faxing, photocopying, mailing of document, and some receptionist duties

• Reviews, prepares, creates, and/or sends letters, reports, and forms per client service instructions or claims examiner/supervisor requests.

• Answers and initiates telephone calls, sets up medical appointments, and may provide customer service as required

• Handles task assignments by way of diary management system

• Prepares file balancing of claims as assigned by the claims examiner

• Other activities/projects as assigned

Job Requirements for the Workers' Compensation Assistant:

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• High School Diploma or GED; some college preferred

• Knowledge in workers’ compensation process highly preferred but not required

• Excellent oral and written communication

• PC literate, including Microsoft Office products (45-50 WPM typing speed with reasonable accuracy)

• Strong organizational skills

• Ability to work in a team environment, good interpersonal skills

• Ability to take direction

• Willingness to take Basic Workers’ Compensation Class

• Ability to achieve high performance standards and/or exceed Service Expectations

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.