• Claims Assistant

    Job Location(s) US-CA-Santa Ana
    Job ID
    2018-1599
    # of Openings
    1
    Category
    Administration
    Job Type
    Regular Full-Time
  • Overview

     

     

    TRISTAR Insurance Group began as an insurance program manager and medical malpractice claims administrator in 1987. Workers compensation claims management services were added in our offerings in 1989, and the Company was renamed TRISTAR Risk Management in 1995. As managed care and benefits administration services were added to our offerings, the organization grew into TRISTAR Insurance Group.

    Since our merger with Risk Enterprise Management in 2012, we became the largest privately held third party claims administrator. We empower more than 1,000+ professionals in offices throughout the United States, focusing business operations in three divisions: property casualty claims management, benefits administration, and managed care services.

    We are true to our values of RESPECT, INTEGRITY, TRUST, and EXCELLENCE, making the right choices both financially and ethically.

    At TRISTAR we strive to create an environment of respect, wherein all of us are encouraged to learn and to grow, to provide exceptional service to our clients and in turn to enjoy the satisfaction that comes from a job well done. We believe that to provide real service, we must contribute something which cannot be bought or measured with money: sincerity and integrity.

    Responsibilities

    POSITION SUMMARY:  Under close supervision performs clerical and data entry tasks that assist in administration of Auto Liability claims.

     

    This position requires considerable interaction with claimants on the phone, 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.

     

     

    DUTIES AND RESPONSIBILITIES:

     

    • Sets up new claims in system and paper files, ensuring all documentation is present and correct.*
    • Prepares, 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.*
    • May print and reconcile checks, as needed specific to branch office.*
    • Communicates pertinent claim information to the client, legal counsel, medical and rehab 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 two (2) years experience in the

    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.

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