Sr. Assistant Workers Comp Claims

CopperPoint is seeking a fully remote Sr. Claims Assistant to provide critical clerical and administrative support to workers‑compensation claim adjusters and the claim management team throughout the claim management process. This senior‑level role works with a high degree of independence, takes on greater responsibility, and contributes to the training and development of less experienced staff.

Responsibilities

• Provide clerical/administrative support to the workers‑compensation claim adjusters and the claim management team.
• Issue notices and letters timely and accurately in accordance with statutory guidelines.
• Successfully pass all regulatory, internal and external audits.
• Process payments and benefits timely and accurately.
• Follow special handling instructions regarding client‑specific processes and procedures.
• Accurately maintain related claim processing and procedure records.
• Keep files on the current diary system to monitor new developments and follow up on outstanding requests.
• Respond to all other diary activities.
• Partner with team members to move files to positive outcomes and document results.
• Participate in committee and/or meetings and provide/receive input to achieve the best possible resolution of issues.
• Adhere to service standards, proper file coding, and special claims handling instructions.
• Timely complete medical contacts on appropriate files.
• Complete medical provider contacts timely and accurately on all claims with temporary disability benefits.
• Address internal and external customer‑service needs promptly and professionally.
• Actively participate in departmental special project work.
• Partner in the training and development of less experienced claim assistants.
• Oversee claim assistant workloads and ensure timely completion of their work.
• Successfully complete the annual corporate Code of Conduct training and demonstrate full knowledge, understanding, and compliance with the Code.

Qualifications

• Bachelor’s degree preferred.
• 3+ years’ experience in a claim assistant role or equivalent.
• Insurance Education Association (IEA) or Self‑Insurance Plan (SIP) certification or equivalent preferred.
• Exceptional judgment and prioritization skills.
• Exceptional written and verbal communication skills.
• Exceptional customer service skills.
• Ability to anticipate problems and resolve issues proactively.
• Proficient computer skills and knowledge of relevant software.
• Exceptional organizational and time‑management skills.
• Spanish bilingual a plus.
• Strong collaboration skills – ability to partner with vendors, team members, and managers to move files to positive conclusions.
• Intermediate‑level math and calculator skills.

Benefits

• Medical, dental, and vision insurance.
• Short‑term disability, long‑term disability, and basic life insurance (AD&D) at two times an employee’s annual salary.
• Health Savings Account (HSA) and Flexible Spending Account (FSA).
• 401(k) plan with generous matching contributions.
• Employee Assistant Plan.
• Accrual of 0.0692 hours of Paid Time Off (PTO) per paid hour (approximately 18 days per year) plus 10 paid holidays.
• Annual discretionary bonus potential.
• Tuition reimbursement and other education benefits.
• 12 hours of paid volunteer time annually and matching of personal charitable contributions up to $500 per year.

Pay

Salary Range: $50,000.00 – $69,000.00 annually. Compensation may vary depending on skills, experience, education, and geographical location. In addition to base salary, compensation may include an annual discretionary bonus.