• Claims Assistant - Workers Compensation-C

    Job Location(s) US-CA-Santa Ana
    Job ID
    2018-1582
    # of Openings
    1
    Category
    Worker's Compensation/COLA
    Job Type
    Regular Full-Time
  • Overview

    POSITION SUMMARY:  Under close supervision performs clerical and data entry tasks that assist in administration of workers’ compensation claims.

     

    This position requires considerable interaction on the phone with claimants, Doctors, employers, investigators, attorneys and with management, other Claims Examiners, and other TRISTAR staff in the office; therefore consistently being at work in the office, in a timely manner, is inherently required of this position.

    Responsibilities

    DUTIES AND RESPONSIBILITIES:

     

    • Prepares benefit notices, schedules and processes benefit and medical payments on claim files as directed by the Claims Examiner.*
    • Documents all work product and claim activity in the electronic claim file.*
    • Prepares and prints letters, benefit notices and labels.*
    • Provides clerical support, including filing, faxing, sorting, and alphabetizing.*
    • Communicates pertinent claim information to the client, legal counsel and medical  providers and internal claims staff.*
    • Answers phone calls, take messages and responds appropriately.*
    • Performs receptionist duties on a back-up basis.
    • Other duties as assigned.

     

    *Essential job function.

    Qualifications

    QUALIFICATIONS REQUIRED:

     

    Education/Experience:  High school diploma or GED, and six (6) months experience in the

    workers’ compensation claims industry (preferred).

     

    Knowledge, Skills and Abilities:

    • Proficient keyboarding skills (type 45 wpm).
    • Working knowledge of medical/legal terminology.
    • Ability to alphabetize and collate.
    • Proficient in Word.
    • Ability to follow written and spoken instructions from several individuals.
    • Ability to produce accurate and detailed work.
    • Excellent verbal and written communication skills.
    • Courteous telephone skills.
    • Ability to effectively prioritize multiple projects and due dates.
    • Ability to work independently, as well as in cooperation with workgroup.

     

    Other Qualifications

    • None

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