Workers Compensation Claims Assistant I

About the role

Reports directly to the unit Claims Supervisor but takes primary direction for the assigned Claims Specialist(s).

Responsibilities

• Prepares new claims files
• Calculates TTD, Wage Loss, VRMA and PD benefits
• Issues compensation payments on diary schedule
• Issues Benefit Notices
• Doctor status calls and Employee/Employer contact calls
• Employer contact calls to confirm light duty
• Modifies work
• Prepares litigation documents such as C&R, Stipulations, Answers, etc
• Prepares rehabilitation forms for filing with the rehabilitation unit
• Handles calls from providers inquiring about unpaid bills and bill related questions
• Reviews Mail and process direct pays bills such as Mileage Reimbursement
• File and Serve duties (as needed)
• Notepad documentation in Portal

Requirements

• To perform the job successfully, an individual should demonstrate the following competencies:
• Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations.
• Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.
• Team Work - Supports everyone's efforts to succeed.
• Qualification Requirements:
• To perform this job successfully, an individual must be able to perform each essential function.
• The requirements listed below are representative of the knowledge, skill, and/or ability required.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Education And/or Experience: High school diploma or general education degree (GED); or 1-2 years related experience and/or training; or equivalent combination of education and experience.

Qualifications

• High school diploma or general education degree (GED); or 1-2 years related experience and/or training; or equivalent combination of education and experience.

Benefits

• We take care of our people so they can take care of their work and their teams.
• AvonRisk offers a competitive, people first benefits package designed to support your health, financial security, and career growth, including:
• Comprehensive medical, dental, and vision benefits
• Company contributions to HSA and FSA plans
• Employer paid life and disability insurance
• 401(k) with company match
• Paid time off (PTO) and company paid holidays
• Learning and development opportunities that support real career advancement
• Employee assistance resources and a supportive culture that values balance and wellbeing

Pay

$18.00 - $22.00

Schedule

N/A