Entry WC Claims Assistant — Clerical Support & Growth

AvonRisk; Rocklin (CA); On-site; USD 25,000 - 30,000; Full time

Benefits offered by this job

Comprehensive benefits

401(k) with company match

Paid time off and holidays

Learning and development opportunities

Employee assistance resources

Job summary

AvonRisk is seeking a clerical claims support professional in Rocklin, CA. The role provides essential clerical operations support to assigned Claims Specialist(s) and contributes to accurate processing of claims and payments.

The position requires a high school diploma or GED and emphasizes problem solving, customer service, and teamwork to ensure efficient claims handling and smooth operations.

Qualifications

• Problem solving: identifies and resolves problems in a timely manner.
• Customer service: responsive to customer needs and feedback.
• Teamwork: supports everyone’s efforts to succeed.

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 with Claims Specialist to complete clerical tasks.
• Prepares litigation documents such as C&R, Stipulations, Answers, etc.
• Prepares rehabilitation forms for filing with the rehabilitation unit.
• Handle calls from providers about unpaid bills.
• Review mail and process direct pay bills like mileage reimbursement.
• File and Serve duties as needed.
• Notepad documentation in Portal.

Skills

Problem solving

Customer service

Team work

Education

High school diploma or GED

Job description

AvonRisk is seeking a clerical claims support professional in Rocklin, CA. The role provides essential clerical operations support to assigned Claims Specialist(s) and contributes to accurate processing of claims and payments.

The position requires a high school diploma or GED and emphasizes problem solving, customer service, and teamwork to ensure efficient claims handling and smooth operations.