Claims Assistant - Workers' compensation
Summary
Processes workers' compensation claims by entering data, setting up files, and communicating with claimants and providers using office tools.
POSITION SUMMARY: Under close supervision performs clerical and data entry tasks that assist in administration of workers’ compensation claims. This position requires considerable interaction with claimants on the phone, and with management, other Claims Examiners, and other TRISTAR staff in the office; therefore, consistently being at work in their home office, in a timely manner, is inherently required of this position.
DUTIES AND RESPONSIBILITIES:
- Sets up new claims in system and paper files, ensuring all documentation is present and correct.
- Prepares, schedules, and processes benefit and medical payments on claim files as directed by the Claims Examiner.
- Documents all work product and claim activity in the electronic claim file.
- Prepares and prints letters, benefit notices and labels.
- Provides clerical support, including filing, faxing, sorting, photocopying, and alphabetizing.
- Communicates pertinent claim information to the client, legal counsel, medical and rehab providers and internal claims staff.
- Answers phone calls, take messages and responds appropriately.
- Other duties as assigned.
*Essential job function.
EQUIPMENT OPERATED/USED: Computer, telephone, 10-key, fax machine, printers and other basic office equipment.