What are the responsibilities and job description for the Claims Assistant position at Laborintos?
Top regional insurance company is seeking a workers compensationclaims assistant for its office inSpring Valley NY.
What you will be doing :
- Conduct initial loss investigations on low and midlevel workers compensation claims to determine compensability under close supervision.
- 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 relationships to reported claims.
- Liaise with insureds nurse case managers and counsel to oversee the management of claims and facilitate full or transitional duty return to work.
- Manage EDI and other claims coding functions along with data entry and report generation.
- Respond to inquiries and requests for information from insureds brokers medical providers and other external parties.
- Prepare and present claim review summaries for insureds brokers and internal contacts as requested.
- Participate in roundtable discussions with internal colleagues insureds and counsel on strategies for successful claim closures / resolutions.
- Support other members of the claims department with larger or more complex claims as assigned.
- Assist in the insured onboarding process including training on claims reporting and the use of the insured portal.
Experience you will need :
Top Reasons to Work with our client
Key Skills
Corporate Paralegal,Baan,IT Sales and Marketing,Civil Quality Control,Activex,Jboss
Employment Type : Full Time
Vacancy : 1
