WC Claims Assistant (In-Office; Maitland, FL)

WC Claims Assistant

Our Story

Imagine being part of a team that’s not just shaping the future but actively driving it. At Davies North America, we’re at the forefront of innovation and excellence, blending cutting-edge technology with top-tier professional services. As a vital part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the insurance and regulated sectors.

What’s in Store 

We're on the lookout for a Workers’ Compensation Claims Assistant to join our growing team in Maitland, FL! As a Workers’ Compensation Claims Assistant, you will assist claims specialists with the set up and administration of workers’ compensation claims while performing specific clerical duties related to the claims handling process. You must be able to identify issues that will require the claims specialists’ attention. You will also be responsible for copy work, attaching documents electronically to the system claim file, and separation of file documentation related to legal representation on the claim. Additionally, you will:

• Provide clerical assistance to claims specialists in a Workers’ Compensation claims environment.  
• Proactively identify and complete the daily tasks related to the handling of Workers’ Compensation claims independently and under the direction of a claims specialist, including:

• Scheduling medical appointments
• Obtaining records
• Calling/obtaining work status from provider/client
• Handling correspondence, letters, mail etc. on behalf of the claims specialist
• Documenting notes in system file and tracking with computerized system
• Working diary as assigned; keeping diary up to date
• Copying, scanning and organizing documentation as necessary
• Identifying issues that will require the claims specialist’s attention

• Process form letters and state forms
• Issue payments per policy
• Review paper files for proper content paying attention to legal aspects; submit to attorneys as directed
• Maintain system diary and keep up to date on a daily basis
• Document in the system all claim activity timely and effectively
• Communicate directly with employers, injured workers and providers to obtain information to complete assignments
• Analyze work content to determine the most efficient means of completing and expediting the assignment
• Show initiative by developing an understanding of the claims process, including the importance of separation of file documentation for legal purposes – defense attorney vs opposing (IW) attorney 
• If applicable/licensed, maintain current knowledge of case law and Statutes, maintain CEUs and license in current status
• Perform miscellaneous administrative/support functions as requested by supervisor

This role is a full-time, in-office position based in our Maitland, FL office.

Your Expertise, Skills, and Abilities

• High School Diploma
• Excellent typing skills, 40+ WPM
• A minimum of one year of office experience
• Active Adjuster license for Florida (5-24, 5-20 or 6-20) preferred
• Medical terminology/medical office experience helpful
• Other skills and abilities:

• Superb communication skills, verbal and written, conducted in a timely manner
• Superior time management skills with capability of working with and meeting deadlines
• Exceptional capability to multi-task and prioritize with excellent organization and documentation skills in a fast-paced, dynamic work environment
• Excellent team player with interpersonal skills
• High level attention to detail and problem-solving skills
• Capable of working collaboratively and independently 
• Exhibit discretion with sensitive and confidential information
• Display a comfort level working with key people at all levels within an organization

Benefits

At Davies North America, we are dedicated to supporting the well-being and future of our qualifying employees. Our comprehensive benefits package includes:

• Medical, dental, and vision plans to ensure your health and that of your family
• A 401k plan with employer matching to help you build a secure financial future
• Our time-off policies, including Discretionary Time Off for