Workers' Compensation Claims Assistant

College of Pastoral Supervision and Psychotherapy; Pinehurst (NC); On-site; USD 42,000 - 62,000; Full time

Job summary

FirstHealth of the Carolinas is seeking a Workers’ Compensation Claims Assistant to investigate and manage claims related to Workers’ Compensation, focusing on medium exposure and complexity, analyzing claims data, and serving as a resource for Third-Party Administrators.

You will review and resolve billing issues to ensure accurate payments and contribute to a culture of excellence within our multi-location health system.

Qualifications

• Preferred: Bachelor’s degree in a business or professional field.
• Experience: 3-5 years in healthcare loss prevention, claims management, or a comparable field.

Responsibilities

• Investigate potential Workers’ Compensation claims.
• Manage claims with medium exposure and complexity.
• Analyze Workers’ Compensation claims data.
• Support Third-Party Administrators with claims guidance.
• Review and resolve Workers’ Compensation billing issues.

Skills

Healthcare claims

Loss prevention

Data analysis

Education

Bachelor's degree preferred

Job description

Overview

FirstHealth of the Carolinas is a nationally recognized health care system located in central North Carolina. Comprised of four hospitals with more than 600 beds, the system also offers leading‑edge heart care in the Reid Heart Center, the area’s only dedicated heart and vascular center. Our growing health system has more than 6,200 employees serving in more than 75 locations throughout a 15‑county service area. In addition, FirstHealth has received numerous accolades for its patient care and outcomes, including recognitions from Healthgrades, U.S. News & World Report, and Becker’s Healthcare.

Position Summary

As a Workers’ Compensation Claims Assistant, you will investigate and manage claims related to Workers’ Compensation. This includes handling claims of medium exposure and complexity, analyzing claims data, and serving as a resource for Third-Party Administrators. You will also review and resolve billing issues to ensure accurate payments.

Responsibilities

• Investigate potential Workers’ Compensation claims.
• Manage claims with medium exposure and complexity.
• Analyze Workers’ Compensation claims data.
• Support Third-Party Administrators with claims guidance.
• Review and resolve Workers’ Compensation billing issues.

Qualifications

• Preferred: Bachelor’s degree in a business or professional field.
• Experience: 3-5 years in healthcare loss prevention, claims management, or a comparable field.

FirstHealth values diversity, equity, and inclusion, and works to create a culture of excellence in which all team members feel valued, connected, treated fairly and safe, and where differences are both respected and supported.