Sr. Assistant Workers Comp Claims

About the Company

Founded in 1925, this organization provides workers’ compensation and commercial insurance products across ten western U.S. states. It emphasizes stability, supports policyholders with regional solutions, and engages in community support through employee volunteer programs and matching charitable contributions.

About the Role

The Sr. Assistant Workers Comp Claims role is a senior‑level position providing essential clerical and administrative support to workers compensation claim adjusters and the claim management team. The role works independently, manages increased responsibility, and contributes to training and development of less experienced staff, supporting efficient claim processing and compliance with regulatory and internal standards.

Responsibilities

• Provide clerical and administrative support to claim adjusters and claim management team.
• Issue notices and letters accurately and in compliance with statutory guidelines.
• Ensure successful completion of all regulatory, internal, and external audits.
• Process payments and benefits in a timely and accurate manner.
• Follow client‑specific processes and special handling instructions.
• Maintain accurate records related to claim processing and procedures.
• Monitor and manage files through diary systems to track developments and follow‑ups.
• Collaborate with team members to advance files toward positive outcomes and document results.
• Participate in meetings or committees to address and resolve issues effectively.
• Adhere to service standards, file coding, and special claims handling guidelines.
• Complete timely medical contacts on relevant files, including claims with temporary disability benefits.
• Respond promptly and professionally to internal and external customer service needs.
• Engage in departmental special projects.
• Assist in training and developing less experienced claim assistants.
• Oversee workloads of claim assistants to ensure timely task completion.
• Complete annual corporate Code of Conduct Training and comply with its standards.

Requirements

• Bachelor’s degree preferred.
• Minimum of 3 years’ experience in a claim assistant role or equivalent.
• Insurance Education Association (IEA) or Self‑Insurance Plan (SIP) certification preferred.
• Strong judgment and prioritization skills.
• Excellent written and verbal communication abilities.
• Outstanding customer service skills.
• Proactive problem anticipation and resolution skills.
• Proficient computer and relevant software knowledge.
• Strong organizational and time management skills.
• Spanish bilingual skills are a plus.
• Effective collaboration skills to work with vendors, team members, and managers.
• Intermediate math and calculator skills.

Pay

Salary range: $50,000 – $69,000 annually, varying based on skills, experience, education, and location. Position may include an annual discretionary bonus.

Benefits

• Medical, dental, and vision insurance plans.
• Short‑term and long‑term disability coverage at no cost.
• Basic life insurance and accidental death and dismemberment coverage at two times annual salary.
• Employee Assistance Plan.
• Health savings and flexible spending accounts.
• 401(k) retirement plan with employer matching contributions.
• Paid Time Off accrual of approximately 18 days per year plus 10 paid holidays.

Our client is an equal opportunity employer, celebrating diversity and committed to an inclusive environment for all employees. All qualified applicants will receive consideration without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.