What are the responsibilities and job description for the Claim Assistant position at HEMIC?

Job Description

Join us at HEMIC!

Voted one of Hawai`i Business’ Best Places to Work for 7 Years in a Row!

As a HEMIC employee, you will get :

People Who Care

Voted one of Hawai`i Business’ Best Places to Work, and Pacific Business News’ Best Workplaces, our business is founded on caring for Hawai`i workers, Hawai`i businesses, and each other.

Professional Growth

We’re passionate about your development. Whether it’s achieving a formal certification or attending a workshop to improve your communication skills, we will support and encourage you to grow.

Benefits & Perks

We offer competitive salary and best-in-class benefits, including a 401k match, flex-time, generous PTO, 15 paid holidays, and so much more!

Opportunity to Give Back

Giving back to our community is our kuleana and we offer numerous opportunities for our employees to take part - whether it be volunteering for a fundraiser, attending a charity walk, or getting a match for your charitable contributions.

Why our Claim Assistant is Important :

The Claim Department carries out our promise of "Proudly Taking Care of Hawai`i" by working with injured workers to get the necessary care so that they can get back to work and life. This position provides administrative and office support to the department by sorting, filing, and distributing important documents in a fast-paced environment.

Essential Duties

Daily Operations : Efficiently manage critical daily deadlines and work quotas in a regulated environment, including accurate digitalization of confidential documents through photocopying, scanning, and faxing.

Organizational Tasks : Accurately sort and organize medical, pharmaceutical, and legal bills, manage unmatched mail.

Document Handling : Ensure timely routing and delivery of important documents to relevant parties, including internal staff and external entities such as attorney offices, medical providers, policyholders, and claimants.

Communication & Coordination : Handle communication with providers, employers, and claimants through standard letters and reports, coordinate medical appointments, and provide phone support.

Support & Training : Participate in job sharing, cross-training, and provide coverage for other support staff when required. Opportunity for career growth through provided professional development.

Perform other duties as assigned.

Requirements

Demonstrated ability to efficiently juggle multiple tasks and adhere to strict deadlines on a daily basis.

At least one year of experience in clerical work, including proficiency in typing, sorting, scanning, filing, and copying.

Familiarity with Microsoft operating systems, particularly MS Outlook, Excel, and Word, is required. Ability to type a minimum of 50 words per minute.

Exceptional attention to detail.

Experience in customer service roles.

Previous office experience in the workers’ compensation industry (preferred).

Understanding of medical terminology (preferred).

Position title

Claim Assistant

Department

Claim

Work Arrangement

In-Person, HEMIC Tower

Reports To

Manager, Claim Support

Direct Reports

N / A

FLSA Status

Exempt ☒ Non-Exempt Job Class : 2-Prof

Approved By : clewis

Date Approved : 6 / 18 / 2024

Reviewed : N / A

NOTE : The above information on this job description has been designed to indicate the general nature and level of work performed by an employee in this classification. It is not to be interpreted as a comprehensive inventory, or all duties, responsibilities, and qualification of employees assigned to this job. Management has the right to add, revise or delete information in this description. Reasonable accommodations will be made to enable qualified individuals with disabilities to perform the essential duties of this position.

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