What are the responsibilities and job description for the Claims Assistant position at Blackbird Recruiting?
Claims Assistant
Monsey, NY
50,000-$55,000
The Claims Assistant will be responsible for investigation, and management of medical only and lower-level workers' compensation indemnity claims in multiple jurisdictions.
This will include medical management and litigation management to drive claims to closure while working to actively mitigate exposure for the Company.
- Responsible for completing and documenting initial loss investigations on low and mid- level workers compensation claims to determine compensability under close supervision.
- Under direction and guidance of the claim supervisor, establish initial and subsequent reserves to ensure reserves are adequate for anticipated exposure with increasing degrees of responsibility and complexity.
- Review and approve medical bills for causal relationship to reported claim.
- Liaison with insureds, nurse case managers, and counsel to oversee management of claims and bring them to closure and facilitate full or transitional duty return to work.
- Responsible for EDI and other claims coding functions along with data entry and report generation.
- Respond to inquiries and request for information from insureds, brokers, medical providers and other external parties.
- Participate in roundtable discussions internal colleagues, insureds, and counsel on strategies for successful claim closure / resolutions.
- Support other members of the claims department with larger or more complex claims as assigned.
Required Skills :
Experience :
Salary : $50,000 - $55,000
