Claims Assistant

Job Responsibilities

• Reviews and prioritize assigned work
• Performs general data entry, as requested
• Documents VOS (WC claims management system) as required
• Performs all copy work as requested
• Schedule medical appointments, as assigned
• Process employee reimbursement requests
• Maintains all documents and correspondence in the claim files, as required per Quality Claims Management (QCM), requirements
• Communicates with internal and external clients in a clear, concise manner to appropriately assist in the administration of benefits
• Request/subpoena records
• Processes file and serves as assigned
• Processes legal forms and documents as assigned
• Makes travel arrangements as needed
• Researches information when necessary
• Develops the ability to manage the Helpline, responding to questions regarding WC benefits, answering basic questions, in lieu of transferring the call to the WCR or WCS for handling
• Applies standard techniques, procedures, criteria to routine and limited scope assignments

Qualifications

• Minimum: HS Diploma or Equivalent
• Required: BA
• Desired: 1 to 5 years Claims Assistant experience or equivalent preferred, sufficient to provide basic knowledge of WC requirements and processes
• Must have knowledge of Microsoft Word and Excel
• Must have working knowledge and skills to use computer terminal keyboard/computer
• Telephone
• Printer
• Photocopy machine
• Writing implements
• Overall general office equipment (adding machine, fax machine, etc.)
• Absolutely must have ability to learn software