Claims Assistant

• Input data for all new claims and maintain accurate records.
• Process indemnity payments, wage statements, and mileage calculations.
• Identify and mitigate potential penalties while ensuring compliance.
• Deliver 3-point contact to verify injury mechanics, compensability, and discharge.
• Manage correspondence, including DWC letters, delay letters, and statute letters.
• Investigate questionable claims and escalate as needed.
• Schedule medical appointments and manage related documentation.
• Collaborate with nurses on return-to-work cases.
• Maintain a 100% closing ratio and ensure timely responses to inquiries.

Required: High school diploma or GED and a minimum of 1 year transferrable work experience within an office environment. Ability to pass any required licensing exams within three attempts. Excellent written, verbal and mathematic skills. Working knowledge of current PC software such as Word and Excel. Familiar with medical terminology.

Preferred: Licensed for all states in which claims are being handled. One year relevant Worker's Compensation experience.

Behaviors: Ability to operate in a team environment with the expectation of enhancing and contributing to the offices overall effectiveness and success. Able to maintain strict confidence regarding information contained in assigned work. Ability to professionally interact with all levels of branch personnel, as well as, clients, vendors and all other office visitors.