Remote Claims Examiner - Workers' Comp (Flex)

Athens Administrators, Inc.; Concord (CA); Hybrid; USD 52,000 - 68,000; Full time

Benefits offered by this job

Medical, Vision, Dental

401k

Paid time off

Job summary

Athens Administrators has an immediate need for an experienced Assistant Claims Examiner - Flex to support our Workers’ Compensation department. This role can be located anywhere in California, with remote work available on most days and weekly in-office requirement for those near Concord or Orange.

Office hours are 7:30 a.m.–5:30 p.m. local time, Monday–Friday, 37.5 hours per week with a flexible schedule.

Qualifications

• 2+ years’ Claims Assistant experience supporting a workers compensation examiner or team preferred
• Medical Only Adjuster designation strongly preferred
• Knowledge of workers compensation laws, policies, and procedures

Responsibilities

• Process new claims in compliance with client’s Service Agreement
• Issue indemnity payments and awards on time
• Process approved provider bills timely
• Prepare letters to providers for medical bills
• Answer questions from medical providers regarding bills
• Contact treating physician for disability status
• Coordinate return-to-work status or modified work arrangements
• Update information on computer and maintain case files
• Draft Stipulated Awards and C&R agreements
• Prepare professional, well written correspondence and other communications

Skills

Claims experience

Administrative support

Microsoft Office Suite

Detail oriented

Communication skills

Education

High School Diploma or equivalent

AA/AS or BA/BS preferred

Tools

Microsoft Office Suite

Job description

Athens Administrators has an immediate need for an experienced Assistant Claims Examiner - Flex to support our Workers’ Compensation department. This role can be located anywhere in California, with remote work available on most days and weekly in-office requirement for those near Concord or Orange.

Office hours are 7:30 a.m.–5:30 p.m. local time, Monday–Friday, 37.5 hours per week with a flexible schedule.