Administrative Specialist I/Processing Assistant

State of North Carolina • Wake County, NC

12d • Hybrid

About The Position

The North Carolina Industrial Commission is vested as a court of exclusive and original jurisdiction by the General Assembly to adjudicate and administer the North Carolina Workers' Compensation Act. The Industrial Commission processes over 65,000 workers' compensation injury reports and claims filed annually under the Act. This responsibility includes overseeing and providing for the trial of contested cases as well as administering non-contested cases. Workers who are injured by accident on the job or who contract an occupational disease receive disability and medical benefits as ordered by the Industrial Commission. The Industrial Commission is also a court of original jurisdiction for litigating tort claims against the State under the North Carolina State Tort Claims Act. Additionally, the General Assembly has mandated the Industrial Commission to provide an adjudicated process for Childhood Vaccine-Related Injury claims and Compensation to Persons Erroneously Convicted of Felonies. It acts as a court of exclusive and final jurisdiction for death claims made by families of law enforcement officers, fire fighters, rescue squad workers and civil air patrol members arising under the Public Safety Employees' Death Benefits Act. Each of these adjudicatory systems requires administration of contested and uncontested claims, review of agreements, and supervision of payment of benefits. This position, Administrative Specialist I/ Processing Assistant - 60080760, is located within the Claims Administration Section of the North Carolina Industrial Commission. This section processes workers’ compensation injury reports filed by employers (Forms 19) and claims forms filed by injured workers (Forms 18 or 18B), as well as related forms for claim acceptance or denial, return to work, payment of permanent partial disability ratings, occupational diseases, death claims, and claim closures. The section also researches insurance coverage, assigns carrier codes, and updates addresses. Employees in this section assist external stakeholders with file copy requests and information about claim status. The primary purpose of this position is to assist employers, employees, carriers, medical providers, attorneys, and other interested parties with information on insurance coverage, claim status, and file copy requests. This is accomplished through the review and accurate keying of a high volume of claims forms, including Forms 18 and Forms 19, and by answering a high volume of telephone calls from both external and internal stakeholders.

Requirements

• High school diploma or General Educational Development (GED) diploma and two years of related administrative experience; or equivalent combination of education and experience.
• Demonstrated experience reviewing claim forms and keying data from those forms into databases in a computer system.
• Demonstrated experience facilitating and organizing the flow of work.
• Demonstrated experience in an office environment, including answering telephone calls and responding to emails from both external and internal stakeholders.
• Demonstrated experience using office equipment and other technology to meet organizational needs.

Nice To Haves

• One or more years of experience in data entry and/or the workers’ compensation system, insurance industry, or legal field.

Responsibilities

• Review and accurately key a high volume of claims forms, including Forms 18 and Forms 19, into databases.
• Answer a high volume of telephone calls from external and internal stakeholders.
• Assist employers, employees, carriers, medical providers, attorneys, and other interested parties with information on insurance coverage, claim status, and file copy requests.
• Process workers’ compensation injury reports and claims forms.
• Research insurance coverage information.
• Assign carrier codes.
• Update claimant, carrier, and third-party administrator addresses.
• Assist external stakeholders with file copy requests and information about claim status.

Benefits

• 12 Annual paid Holidays
• North Carolina State Health Plan administered by AETNA
• Supplemental Benefits including: Flexible Spending Accounts, Accident Insurance, Cancer & Specified Disease, Critical Illness, Dental and Vision
• NC State Retirement (TSERS)
• WeSave Employee Discounts

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED