Workers’ Comp Claims Support Specialist

AvonRisk; Houston (TX); On-site; USD 30,000 - 42,000; Full time

Benefits offered by this job

Medical benefits

HSA/FSA plans

Life and disability insurance

401(k) with company match

Paid time off and holidays

Learning and development opportunities

Employee assistance resources

Job summary

AvonRisk is seeking a clerical operations support professional to assist assigned Claims Specialist(s). You will prepare new claims files, process benefit payments, issue notices, and maintain communications with providers and employers.

This role reports to the unit Claims Supervisor and requires 1-2 years related experience or a GED, with strong problem solving and customer service skills; the company offers a comprehensive benefits package.

Qualifications

• Problem solving skills with ability to analyze information and resolve issues
• Strong customer service orientation and ability to handle difficult situations
• Team player who supports others to achieve goals

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 or modified 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
• Handles provider inquiries about unpaid bills and related questions
• Reviews Mail and processes direct pays such as Mileage Reimbursement
• Performs File and Serve duties as needed
• Notepad documentation in Portal
• Sets up income benefit check schedules under supervision
• Mail claim documents and checks timely
• Drafts template letters to support the adjusting team
• Documents incoming medical records
• Sets notifications of document receipt in the Risk Management Information System
• Performs other clerical functions as assigned

Skills

Problem Solving

Customer Service

Team Work

Education

High School Diploma or GED

Job description

AvonRisk is seeking a clerical operations support professional to assist assigned Claims Specialist(s). You will prepare new claims files, process benefit payments, issue notices, and maintain communications with providers and employers.

This role reports to the unit Claims Supervisor and requires 1-2 years related experience or a GED, with strong problem solving and customer service skills; the company offers a comprehensive benefits package.