Workers Compensation Claims Assistant Temporary

Intercare Holdings Insurance Services; Glendale (CA); On-site; USD 40,000 - 55,000; Full time

Job summary

Intercare Holdings Insurance Services is seeking a Workers Compensation Claims Assistant I to provide essential clerical operations support. This full-time position involves preparing claims files, calculating compensation benefits, and handling communications with employers and healthcare providers.

The ideal candidate will possess a high school diploma and have 1-2 years of relevant experience. Strong problem-solving and customer service skills are vital for success in this role.

Qualifications

• Ability to identify and resolve problems in a timely manner.
• Strong customer service skills to manage difficult situations.
• Team player who supports group efforts.

Responsibilities

• Prepare new claims files.
• Calculate various compensation benefits.
• Issue compensation payments as per schedule.
• Handle communication with doctors and employers.
• Prepare litigation documents and forms.
• Manage calls regarding unpaid bills.
• Document notepad entries in Portal.

Skills

Problem Solving

Customer Service

Team Work

Education

High school diploma or GED

1-2 years related experience

Job description

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).

Job Details

Workers Compensation Claims Assistant I

Job Type: Full-time, Temp

Location: Glendale, CA

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.