Processor I, Workers' Compensation Claims

Estes-Express-Lines; Richmond (VA); On-site; USD 25,000 - 36,000; Full time

Job summary

Estes-Express-Lines is seeking a claims administrative professional in Richmond, VA to receive and enter workers’ compensation claims. The role uses guidelines to determine status, coordinates care and return to work, and forwards medical records and reports to internal and external stakeholders.

OSHA logs must be maintained and compliance with regulations ensured. Strong data entry, organization, and the ability to work under tight timelines are essential, with regular attendance required and

Qualifications

• Excellent data entry skills.
• Experience with workers' compensation or healthcare preferred.
• Must be able to lift approx. 20 lbs.
• Able to read and comply with written instructions and safety rules.

Responsibilities

• Receive and enter new workers’ compensation claims.
• Determine claim status using established guidelines and coordinate care and return to work.
• Forward medical records and status reports to relevant internal and external parties.
• Maintain OSHA and related logs within Safety; complete summaries as required.
• Ensure compliance with regulations governing workers’ comp claims.
• Regular attendance and ability to perform other duties as assigned.

Skills

Data entry

Attention to detail

Interpersonal skills

Independent worker

Team player

Education

High School Diploma or GED

Tools

Microsoft Office

CRM systems

Job description

Job Summary:

• Receive and enter all new workers’ compensation claims
• Use established guidelines to determine status, coordinate care and return to work
• Receives and forwards all medical records, work status reports, etc. to appropriate individuals (both internal and external) who are involved in the handling of claims
• Maintain OSHA and other necessary logs within the Safety department. Complete OSHA summaries to provide to appropriate parties
• Ensure compliance with all relevant regulations in regards to management of workers’ comp claims
• Regular attendance is required.
• This is not an all-inclusive list of job requirements and/or duties and may not contain all mental and physical capabilities necessary to perform the job at all times due to circumstances. Operational, safety and other needs may require the employee to perform any and all other duties as assigned. Employees are expected, and must be able to perform all such duties and tasks.

Qualifications:

• High School Diploma or General Education Degree (GED), or any combination of education and experience which would provide an equivalent background
• Excellent data entry skills
• Experience with workers compensation and/or knowledge of healthcare preferred
• Must be able to lift approximately 20 lbs., or more if required by the essential functions of the job
• Must be able to comply with all company policies, rules, procedures and Code of Conduct
• Must be able to interact well with others
• Must be able to work independently, or in a team setting
• Must be capable of working under tight time constraints in a high volume environment with multiple priorities
• Responds well to questions; Ability to read, interpret and comply with written information and documents such as safety rules, operations / procedure manuals and maintenance instructions with a high comprehension and concentration level to include the ability to meet deadlines
• Must pass a pre-employment drug screen, random drug and/or alcohol tests, and will be subject to a criminal history background check
• Must be authorized to work in the United States

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.While performing the duties of this job, the employee is regularly required to talk or hear. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus. The employee is frequently required to sit and use hands to finger, handle, or feel or operate computers and other standard office equipment. The employee is occasionally required to stand, walk, lift, twist, turn and reach with hands and arms. The employee must be capable of lifting a minimum of 20 lbs., or more if required by the essential functions of the job.

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment ranges from quiet to loud as required by the essential functions of the job.