Technical Assistant

Key Responsibilities

• Help the examiner make appropriate compensability decisions by assisting with contacts.
• Maintain active file diaries to ensure the completion of delegated tasks.
• Understand jurisdictional benefit rates and payment deadlines to ensure compliance with state timeframes.
• Accurate documentation of claim activity within the file notes.
• Produce quality documentation in an accurate and timely manner, such as benefit notices, nurse and legal referrals, record requests, and settlement documents.
• Respond timely and appropriately to internal and external customers on claim-related issues.
• Adhere to state regulations for AZ, CA, CO, and UT.
• Manage an inventory of direct-handle pension and/or lifetime medical files.
• Collaborate with peers in the Region to ensure adequate coverage during vacations or absences.
• Adhere to Best Practice guidelines.
• Collaborate with appropriate resources to timely resolve issues.

Skills

• 3+ years of customer service showcasing verbal, written, and interpersonal skills.
• Ability to evaluate, analyze, and interpret information.
• Adaptability to constantly evolving environments and demonstrable flexibility.
• Independent and efficient work with minimal errors.
• Experience with Workers' Compensation and claim handling processes.
• Proficient computer skills and extensive knowledge of the Microsoft suite of Office products.
• Knowledge of state EDI systems and/or familiarity with CA Workers Compensation terminology.
• Effective time management skills demonstrating the ability to multi-task and prioritize.

Qualifications

• Required: Proficiency in using Microsoft Office Products.
• Required: 3+ years of customer service showcasing verbal, written, and interpersonal skills.
• Required: 1+ years' experience with basic understanding of the Workers' Compensation and claim handling processes.
• Required: Experience in a fast-paced, fluid environment.
• Required: Strong communication and telephonic skills.
• Preferred: Associate degree preferred.
• Preferred: Prior clerical and technical experience in researching and indexing data.
• Preferred: Knowledge of medical terminology.
• Preferred: Knowledge of bill processing.
• Preferred: Knowledge of claim handling.