What are the responsibilities and job description for the Claims Assistant position at Intercare Holdings Insurance Services?
Workers Compensation Claims Assistant I
Job Details
Job Type
Full-time
Description
Summary:
Reports directly to the unit Claims Supervisor but takes primary direction for the assigned Claims Specialist(s). Responsible for providing clerical operations support to assigned Claims Specialist(s).
Essential Duties and Responsibilities:
Competency:
To perform the job successfully, an individual should demonstrate the following competencies:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. 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.
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Job Details
Job Type
Full-time
Description
Summary:
Reports directly to the unit Claims Supervisor but takes primary direction for the assigned Claims Specialist(s). Responsible for providing clerical operations support to assigned Claims Specialist(s).
Essential Duties and 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
- Works closely with Claims Specialist to complete clerical assignments
- Prepares litigation documents such as C&R, Stipulations, Answers, etc
- Prepares rehabilitation forms for filing with the rehabilitation unit
- Handle calls from providers inquiring about unpaid bills and bill related questions
- Review Mail and process direct pays bills such as Mileage Reimbursement
- File and Serve duties (as needed)
- Notepad documentation in Portal
Competency:
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
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. 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.
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