Workers Compensation Assistant

*HIRING IMMEDIATELY*

Description:

When necessary, assist with contacts and replies for examiner so that appropriate decisions can be made

• Communicate with internal and external business partners regarding claims, payments and status’

• Maintain active file diaries to ensure delegated tasks are completed.

• Develop an understanding of jurisdictional benefit rates and payment deadlines to ensure compliance with state timeframes.

• Accurate documentation of claim activity within file notes

• Produce quality documentation in an accurate and timely manner i.e. benefit notices, nurse and legal referrals, record requests, settlement documents.

• Respond timely and appropriately to internal and external customers on claim related issues

• Adhere to state regulations for CA (and possibly CO, UT and AZ)

• Collaborate with appropriate resources to timely resolve issues

Technical Skills & Competencies:

• Superior customer service showcasing verbal, written and interpersonal skills

• Aptitude for evaluating, analyzing, and interpreting information.

• Effective time management skills which demonstrate the ability to multi-task and prioritize by accomplishing tasks and assignments

• Strong organizational skills

• Adaptability to constantly evolving environments and demonstrable flexibility which meets or exceeds a state requirement or a customer’s expectation

• Bilingual abilities (spoken and/or written) are not required but are certainly a +

• Ability to work independently and efficiently while performing defined functions with minimal errors

• Proficient computer skills and extensive knowledge of the Microsoft suite of Office products including Outlook, Word, Excel, and PowerPoint; knowledge of state EDI systems and or IAIABC practices a plus.

Additional Skills & Qualifications:

• Prior clerical and technical experience in researching and indexing data are preferred but not required

• Proficiency with Microsoft Office Products

• Experience in a fast paced, fluid environment

• Strong communication and telephonic skills

• Knowledge of medical terminology is a plus but not required

• Knowledge of bill processing is a plus but not required

• Knowledge of claim handling is a plus but not required

Experience Level:

Entry Level 1-2 years of relevant experience