Claims Assistant ESF2339
Claims Assistant ESF2339
Posted on :
15-01-2025
Employer Active
1 Vacancy
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Hourly Salary
$ $ 25 - 30
Vacancy
1 Vacancy
Posted on :
15-01-2025
Job Description
- Great worklife balance!
- Market leader in commercial insurance and risk management!
- Offer a wide range of career paths and opportunities for growth!
- Competitive Compensation and Benefits: health insurance retirement plans and other benefits!
What you will be doing:
- Conduct initial loss investigations on low and midlevel workers compensation claims to determine compensability under close supervision.
- Establish initial and subsequent reserves to ensure reserves are adequate for anticipated exposure with increasing degrees of responsibility and complexity.
- Review and approve medical bills for causal relationships to reported claims.
- Liaise with insureds nurse case managers and counsel to oversee the management of claims and facilitate full or transitional duty return to work.
- Manage EDI and other claims coding functions along with data entry and report generation.
- Respond to inquiries and requests for information from insureds brokers medical providers and other external parties.
- Prepare and present claim review summaries for insureds brokers and internal contacts as requested.
- Participate in roundtable discussions with internal colleagues insureds and counsel on strategies for successful claim closures/resolutions.
- Support other members of the claims department with larger or more complex claims as assigned.
- Assist in the insured onboarding process including training on claims reporting and the use of the insured portal.
Experience you will need:
- Proficient in Microsoft Office with an aptitude to learn other software applications.
- Excellent oral and written communication skills.
- Detailoriented with a high accuracy rate.
- Selfmotivated with excellent time management skills.
- Innovative thinker passionate gogetter.
- Ability to manage multiple tasks and prioritize effectively.
- High School Diploma or equivalent (Associates or Bachelors degree preferred).
- At least 23 years prior experience in workers compensation claims management or an administrative role is a plus.
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Employment Type
Full Time
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