Claims Assistant, Workers' Compensation

Keenan & Associates; Riverside (CA); Remote; USD 42,000 - 52,000; Full time

Job summary

A leading insurance brokerage is seeking a Claims Assistant to support claims administration and ensure client satisfaction. The role involves managing claims, processing payments, and communicating with clients. With a competitive salary and robust benefits, this position also allows for remote work within California.

Benefits

Competitive salary

Generous PTO and holiday package

Health benefits

Company match 401(k) plan

Fitness and wellness support

Pet benefits and discounts

Employee resource groups

Qualifications

• 1 year of Claims Assistant experience preferred.
• Experience in insurance or workers' compensation claims preferred.
• Proficiency in Microsoft Office and internet data access.

Responsibilities

• Input data for all new claims.
• Manage indemnity payments and cycles.
• Deliver 3-point contact to verify injury details.

Skills

Multitasking

Communication

Tools

Microsoft Office

Job description

Overview

Responsible for assisting Examiners in claims administration. The Claims Assistant will identify, prevent, and mitigate potential penalties, as well as deliver 3-point contact.

Keenan, an Accretive company, is an insurance brokerage and consulting firm serving hospitals, public entities, and California school districts. We specialize in employee benefits, workers' compensation, loss control, financial, and property & liability consulting services.

What You'll Do

• Input data for all new claims.
• Manage indemnity payments and cycles.
• Request and calculate wage statements.
• Identify and mitigate potential penalties.
• Deliver 3-point contact to verify injury details, compensability, and discharge.
• Review DWC letters and input form letters as needed.
• Calculate and process mileage and benefits.
• Verify lost time and waiting periods.
• Manage modified duty and maintain claim diaries.
• Input notes on claims, status, and treatment.
• Support conversion to Indemnity with documentation.
• Refer diagnostics to PRIME for review.
• Process medical bills promptly.
• Investigate questionable claims and refer to examiners.
• Maintain a 100% claim closing ratio.
• Return calls within 24 hours.
• Review mail and bills daily.
• Correct error reports daily.
• Ensure client and claimant satisfaction.
• Handle indemnity payments and wage requests.
• Input DWC letters and process QME reports.
• Draft and mail stipulations, compromise, and release documents.
• Schedule medical appointments and manage related correspondence.
• File and serve necessary documents.
• Complete investigations and service requests.
• Refer PRIME deletions appropriately.
• Complete IMR processes accurately and timely.
• Coordinate with nurses on return-to-work cases.
• Maintain and update work status information.
• Input statutory and delay letters as required.
• Perform other duties as assigned.

What You'll Need

• At least 1 year of Claims Assistant experience preferred.
• Strong multitasking and communication skills.
• Experience in insurance or workers' compensation claims preferred.
• Proficiency in Microsoft Office and internet data access.

What's in it For You?

We offer:

• Competitive salary.
• Generous PTO and holiday package.
• Health benefits, including multiple medical, dental, and vision plans.
• Company match 401(k) plan.
• Fitness and wellness support.
• Pet benefits and discounts.
• Employee resource groups.

Compensation: The target salary is $42,000 to $52,000 annually, based on experience, education, and location. Remote work is possible, but residence in California is required.

Grow with us

Accretive is a collection of specialty agencies supported by industry leaders. We value relationships and deliver customized solutions. We are committed to diversity, equity, and inclusion, fostering a workplace that embraces all perspectives and contributions.