Workers Compensation Claims Assistant I

AvonRisk; Glendale (CA); On-site; USD 28,000 - 34,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401(k) with company match

PTO & holidays

Learning & development

Employee assistance

Job summary

AvonRisk is the nation’s leading specialty risk manager for self-insured organizations, uniting regional leaders across 32 states. This Full-time role supports assigned Claims Specialists with clerical operations, including file preparation, benefit calculations, and payment processing.

Responsibilities include reciprocating with providers, preparing litigation and rehabilitation documents, and maintaining accurate Notepad entries in the Portal.

Qualifications

• High school diploma or GED; or 1-2 years related experience and/or training; or equivalent combination of education and experience.

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 closely with Claims Specialist to complete clerical assignments.
• 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 and bill-related questions.

Skills

Problem Solving

Customer Service

Teamwork

Education

High school diploma or GED

Job description

Job Type

Full-time

Description

AvonRisk is the nation’s leading specialty risk manager for self-insured organizations, uniting respected regional leaders in workers’ compensation, liability, managed care, and risk management across 32 states. With nearly 700 professionals and brands including Intercare, InterMed, George Hills, and AS&G Claims Administration, we’re a people-focused, operations-driven organization that prioritizes reasonable caseloads, strong training, collaborative teams, and expert support. We invest in tools and workflows that reduce friction—not increase volume—and create real career paths for professionals who want to grow their careers or move into leadership. At AvonRisk, you’re part of a team that values good judgment, curiosity, and accountability, and gives you the support to succeed.

Summary

Reports directly to the unit Claims Supervisor but takes primary direction for the assigned Claims Specialist(s). Responsible for providing clerical operations support to assigned Claims Specialist(s).

Essential Duties And 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 closely with Claims Specialist to complete clerical assignments
• Prepares litigation documents such as C&R, Stipulations, Answers, etc
• Prepares rehabilitation forms for filing with the rehabilitation unit
• Handle calls from providers inquiring about unpaid bills and bill related questions
• Review Mail and process direct pays bills such as Mileage Reimbursement
• File and Serve duties (as needed)
• Notepad documentation in Portal

Competency

• Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations.
• Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.
• Team Work - Supports everyone's efforts to succeed.

Qualification Requirements

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education And/or Experience

High school diploma or general education degree (GED); or 1-2 years related experience and/or training; or equivalent combination of education and experience.

Salary Range

$20.00 - $25.00

Benefits

• Comprehensive medical, dental, and vision benefits
• Company contributions to HSA and FSA plans
• Employer paid life and disability insurance
• 401(k) with company match
• Paid time off (PTO) and company paid holidays
• Learning and development opportunities that support real career advancement
• Employee assistance resources and a supportive culture that values balance and wellbeing

We’re an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

Pursuant to the Los Angeles and San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest or conviction records.