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Workers' Compensation Claims Assistant

Open 15d

Summary

Assists with workers' compensation claims by entering data, processing payments, and communicating with claimants, doctors, and employers via phone and office tools.

Please make sure to complete all the questions in the application and continue through to the end in order to sign and submit it.

POSITION SUMMARY: Under close supervision, performs clerical and data entry tasks that assist in the administration of workers’ compensation claims.

This position requires considerable interaction on the phone with claimants, Doctors, employers, investigators, attorneys, and with management, other Claims Examiners, and other TRISTAR staff.

DUTIES AND RESPONSIBILITIES:

  • Prepares benefit notices, 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, and alphabetizing.*
  • Communicates pertinent claim information to the client, legal counsel and medical providers, and internal claims staff.*
  • Answers phone calls, takes messages, and responds appropriately.*
  • Performs receptionist duties on a back-up basis.
  • Other duties as assigned.

*Essential job function.

EQUIPMENT OPERATED/USED: Computer, telephone, 10-key, fax machine, printers, and other basic office equipment.

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