Claims Assistant

ICW Group•Pleasanton, CA
•$20 - $31•Hybrid

About The Position

The Claims Assistant provides administrative support to assigned Claims Examiners to facilitate effective claims administration and timely payment of benefits in accordance with applicable state law. The role supports claim processing, information gathering, documentation, payment administration, customer service, and claim resolution projects. The position operates in an office environment and frequently uses a computer, telephone, copier, and other standard office equipment. It has no supervisory responsibilities. Other duties may be assigned.

Requirements

  • High school diploma or GED required.
  • At least 1 year of claims insurance or closely related experience.
  • Intermediate computer skills with Microsoft Office Suite and ability to learn ERP software.
  • Basic understanding of office procedures.
  • Exceptional customer service, phone etiquette, and time-management skills.
  • Excellent data-entry skills, strong attention to detail, and ability to prioritize assignments.
  • Ability to read, write, and comprehend simple instructions, short correspondence, and memos.
  • Ability to perform basic arithmetic with whole numbers, common fractions, and decimals.
  • Ability to collaborate effectively to achieve team goals and foster a positive team environment.
  • Ability to exercise sound judgment when carrying out written or verbal instructions.

Responsibilities

  • Provide basic to intermediate administrative support to Claims Examiners.
  • Contact insureds and other relevant parties to obtain information needed to process insurance claims.
  • Document conversations and information in the appropriate enterprise resource planning (ERP) system.
  • Work with assigned Claims Examiners to update claim information and access, search, and retrieve data.
  • Stay current with diary tasks and procedural changes.
  • Provide information to insureds, claimants, and outside vendors as requested by the Examiner.
  • Process indemnity payments, state-mandated forms, and other appropriate claim-related payments.
  • Support Claims Examiners in preparing, processing, and monitoring payments.
  • Communicate pertinent claim information to clients, legal counsel, service providers, and internal claims staff.
  • Ensure claim-processing documentation is accurate and complete for auditing purposes.
  • Assist Claims Examiners with related administrative projects through claim resolution.

Benefits

  • Competitive benefits package with medical, dental, and vision plans.
  • 401(k) retirement plan with company match.
  • Bonus potential for all positions.
  • Paid time off.
  • Paid holidays throughout the calendar year.
  • Learning support.
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