Claims Assistant

Job Overview
What you will be doing:

• Conduct initial loss investigations on low and mid-level 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:

• Proficient in Microsoft Office with an aptitude to learn other software applications.
• Excellent oral and written communication skills.
• Detail-oriented with a high accuracy rate.
• Self-motivated with excellent time management skills.
• Innovative thinker, passionate, go-getter.
• Ability to manage multiple tasks and prioritize effectively.
• High School Diploma or equivalent (Associate's or Bachelor's degree preferred).
• At least 2-3 years prior experience in workers' compensation, claims management, or an administrative role is a plus.

Job Type: Full-time

Pay: $25.00 - $30.00 per hour

Benefits:

• Health insurance

Schedule:

• 8 hour shift

Work Location: In person

Salary : $25 - $30