Workers Compensation Claims Assistant I

InterMed Cost Containment Services; Rocklin (CA); On-site; USD 25,000 - 30,000; Full time

Benefits offered by this job

Comprehensive medical, dental, and vis

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 associate to assist assigned Claims Specialist(s) with daily tasks and documentation. The role focuses on accurate file preparation, billing support, and timely communication with providers and claimants.

You will handle diary-based payments, issue notices, and coordinate with clinicians and employers to keep cases moving smoothly. A strong attention to detail and teamwork are essential.

Qualifications

• High school diploma or GED; or 1-2 years related experience.
• Equivalent combination of education and experience may apply.

Responsibilities

• Prepare new claims files.
• Calculate TTD, Wage Loss, VRMA and PD benefits.
• Issue compensation payments on diary schedule.
• Issue Benefit Notices to appropriate parties.
• Doctor status calls and Employee/Employer contact calls.
• Employer contact calls to confirm light duty or modified work.
• Assist Claims Specialists with clerical tasks and documentation.
• Prepare litigation documents (C&R, Stipulations, Answers).
• Handle provider inquiries about unpaid bills and related questions.
• Review mail and process direct pay bills (e.g., mileage).

Skills

Problem Solving

Customer Service

Team Work

Education

High school diploma / GED or 1-2 years experience

Job description

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.

Job Type

Full-time

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

Requirements

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

$18.00 - $22.01

The salary range listed is an estimate. Actual compensation will be determined based on several factors such as a candidate’s experience, qualifications, skill set, and work location.

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.