Jobs · OTHR · California

Senior Claims Assistant - Workers' Compensation

ICW Group · San Diego, CA · 1 mo ago
HybridOTHR$22.54–$35.54/hrFull-time

PURPOSE OF THE JOB

The Senior Claims Assistant supports Claims Examiners with administrative tasks, helping ensure benefits are paid timely and claims are administered in compliance with state law. This role also mentors and trains less-experienced Claims Assistants.

Essential Duties And Responsibilities

  • Delivers intermediate to advanced administrative support to Claims Examiners.
  • Contacts insured or other involved persons to obtain necessary information to process claims.
  • Documents conversations or information on appropriate enterprise resource planning (ERP) system.
  • Stays current with diary tasks and procedural changes.
  • Provides training and mentoring to less-experienced Claims Assistants.
  • Organizes and works with assigned Claims Examiners and appropriate departments to enter, access, search and retrieve data.
  • Provides exceptional customer service to internal and external customers.
  • Processes claims related payments.
  • Aids Claims Examiner through claims resolution and related administrative projects.
  • Supports Claims Examiners in the preparation, processing and monitoring of payments.
  • Communicates pertinent claim information to the client, legal counsel, and other providers as well as internal claims staff.
  • Ensures documentation required to process claims is accurate and complete for auditing purposes.
  • Provides mentorship and training to less experienced Claim Assistants.
  • Supervises Claims Assistants (this role does not have supervisory responsibilities).

Education And Experience

  • High school diploma or general education degree (GED) required.
  • Minimum of 2 – 3+ years’ experience as a Claims Assistant or closely related experience required.

Certificates, Licenses, Registrations

  • No required certifications, licenses, or registrations.

Knowledge And Skills

  • Intermediate computer skills with Microsoft Office Suite with the ability to learn enterprise resources planning (ERP) software.
  • Strong understanding of claims principles and practices.
  • Superior customer service, phone etiquette and time management skills.
  • Excellent skills with data entry, attention to detail and ability to prioritize assignments.

Physical Requirements

  • Office environment – no specific or unusual physical or environmental demands and employees are regularly required to sit, walk, stand, talk, and hear.

Work Environment

  • This position operates in an office environment and requires the frequent use of a computer, telephone, copier, and other standard office equipment.

Why Join ICW Group?

  • Challenging work and the ability to make a difference.
  • You will have a voice and feel a sense of belonging.
  • We offer a competitive benefits package, with generous medical, dental, and vision plans as well as 401K retirement plans and company match.
  • Bonus potential for all positions.
  • Paid Time Off.
  • Paid holidays throughout the calendar year.
  • Want to continue learning? We’ll support you 100%.
  • ICW Group is committed to creating a diverse environment and is proud to be an Equal Opportunity Employer.
  • At ICW Group we offer a work environment that encourages entrepreneurialism and celebrates success.
  • Our team members are hands-on contributors who are given the opportunity to make an impact.
  • It's our people who make us an employer of choice and the vibrant company we are today.

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