Claims Assistant

WHAT WE'RE LOOKING FOR

A Claims Assistant aids the claims examiners in the administration of indemnity claims.  The successful candidate is computer literate, has excellent organizational skills, and is able to succeed in an environment of rapidly changing priorities.

• Should be familiar with standard concepts, practices, and procedures within the field.
• Relies on instructions, pre-established guidelines, experience, and judgment to perform the functions of the job and accomplish goals.
• Performs a variety of tasks autonomously and with proficiency. Works under general supervision. Some degree of creativity and latitude is required.
• Issue benefits checks and DWC notices
• File and serve legal and medical documents
• Prepare correspondence as directed
• Copy and file work as requested
• Communicate with medical providers
• Document file notes with pertinent information
• Assist with customer service issues
• File and Serve files to the Insurance Carrier

• Customer Service-Provide for quality customer service; Appropriately respond and resolve complex situations/problems; Responds promptly to customer needs, requests for service, and assistance; Solicits customer feedback to improve service and enhance existing procedures; Response in a timely manner; Meets commitments.
• Oral Communication-Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings.
• Attendance/Punctuality–Is consistently at work and on time; Ensures work responsibilities are covered when absent; Arrives at meetings and appointments on time.
• Initiative-Volunteers readily; Undertakes self-development activities; Seeks increased responsibilities; Takes independent actions and calculated risks; Looks for and takes advantage of opportunities; recognizes, initiates projects, prepares cost-analysis, and leads from implementation to conclusion; Asks for and offers help when needed.
• Professionalism-Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for their own actions; Follows through on commitments.
• Quantity-Meets productivity standards; Completes work in timely manner; Strives to increase productivity; Works quickly.

• EDUCATION/EXPERIENCE: An Associate's degree (A. A.) or equivalent from a two-year College or technical school is required; or six months’ to one-year related experience and/or training; or equivalent combination of education and experience.
• LANGUAGE ABILITY: Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.  Ability to write routine reports and correspondence.  Ability to speak effectively before groups of customers or employees of the organization.
• MATH ABILITY: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.  Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
• REASONING ABILITY: Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.  Ability to deal with problems involving several concrete variables in standardized situations.
• TECHNICAL SKILLS: To perform this job successfully, an individual must have knowledge of office operations, workflow analysis, and current technologies in telecommunications, data entry, and file management.
• COMPUTER SKILLS: To perform this job successfully, an individual should have knowledge of Microsoft word processing software; Microsoft spreadsheet software; and be proficient on applicable databases, systems, and vendor software programs.

Salary : $38,100 - $48,300