Claims Assistant

Robert Half client is seeking a detail-oriented Claims Assistant to support Workers’ Compensation administration for a Financial Services organization in Pleasant Hill, California. This is a long-term contract position.

Responsibilities

• Maintain and update medical-only claim records while providing administrative support for indemnity-related claim activities.
• Prepare payment requests, process invoices, and assist with authorizations to help keep claim transactions timely and accurate.
• Examine medical documentation and other claim materials to confirm completeness, consistency, and compliance with established requirements.
• Communicate with injured employees, member districts, healthcare providers, and external contacts to gather information and provide claim-related updates.
• Enter claim data, support benefit calculations, and keep electronic and physical files accurate, current, and well organized.
• Arrange medical evaluations, coordinate related correspondence, and track documentation received from providers.
• Monitor lost-time details and maintain up-to-date records related to claimant work status and leave information.
• Assist with return-to-work coordination and provide day-to-day support to Claims Examiners on assigned cases.
• Perform general administrative tasks such as preparing correspondence, generating reports, copying materials, and completing special assignments as needed.

Requirements

• Experience in administrative support, claims support, or a related office-based role.
• Familiarity with Workers’ Compensation, insurance claims, or medical claims processes.
• Working knowledge of medical terminology and the ability to review documentation with accuracy.
• Strong data entry, record-management, and document-handling skills, including work with confidential information.
• Clear written and verbal communication skills for interacting with claimants, providers, and business contacts.
• Proficiency with standard office software, office equipment, and general administrative tools.
• Ability to manage multiple priorities, stay organized, and maintain close attention to detail in a fast-paced environment.

Benefits

• Medical, vision, dental, and life and disability insurance.
• Eligibility to enroll in the company 401(k) plan.