Workers' Compensation Claims Assistant

Job DetailsLevel: EntryJob Location: Sacramento - Rancho Cordova, CA 95670Position Type: Full TimeSalary Range: $22.00 - $24.00 HourlyJob Shift: DayJob Category: InsurancePlease 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.
QualificationsQUALIFICATIONS REQUIRED:

Education/Experience: College Degree preferred; however, High school diploma or GED required, and six (6) months of experience in the workers’ compensation claims industry (preferred).

Knowledge, Skills and Abilities:


Proficient keyboarding skills (type 45 wpm).
Working knowledge of medical/legal terminology.
Ability to alphabetize and collate.
Proficient in Word.
Ability to follow written and spoken instructions from several individuals.
Ability to produce accurate and detailed work.
Excellent verbal and written communication skills.
Courteous telephone skills.
Ability to effectively prioritize multiple projects and due dates.
Ability to work independently, as well as in cooperation with workgroup.


 

Other Qualifications: 




None




Here are some of the benefits you can enjoy in this role:


Medical, Dental, Vision Insurance.
Life and Disability Insurance.
401(k) Plan 
Paid Holidays
Paid Time Off.
Referral bonus.


Mental and Physical Requirements: [see separate attachment for a copy of checklist of mental and physical requirements]

 





                                     MENTAL AND PHYSICAL REQUIREMENTS




1.  MENTAL EFFORT

 

a.        Reasoning development:

 

           Follow one- or two-step instructions; routine, repetitive task.

 

           Carry out detailed but uninvolved written or verbal instructions; deal with a few concrete

           variables.

 

           Follow written, verbal, or diagrammatic instructions; several concrete variables.

 

 X       Solve practical problems; variety of variables with limited standardization; interpret instructions.

 

           Logical or scientific thinking to solve problems; several abstract and concrete variables.

 

           Wide range of intellectual and practical problems; comprehend most obscure concepts.




b.        Mathematical development:

 

           Simple additional and subtraction; copying figures, counting, and recording.

 

           Add, subtract, multiply, and divide whole numbers.

 

 X       Arithmetic calculations involving fractions, decimals, and percentages.

 

           Arithmetic, algebraic, and geometric calculations.

 

           Advanced mathematical and statistical techniques such as calculus, factor analysis, and probability determination.

 

           Highly complex mathematical and statistical techniques such as calculus, factor analysis, and probability determination; requires theoretical application.




c.        Language development:

 

           Ability to understand and follow verbal or demonstrated instructions; write identifying information; request supplies verbally or in writing.

 

           Ability to file, post, and mail materials; copy data from one record to another; interview to obtain basic information such as age, occupation, and number of children; guide people and provide basic direction.

 

 X       Ability to transcribe dictation; make appointments and process mail; write form letters or routine correspondence; interpret written work instructions; interview job applicants.

 

           Ability to compose original correspondence, follow technical manuals, and