Claims Assistant

MSFHelena, MT
Onsite

About The Position

At Montana State Fund (MSF), we are Montanans serving Montanans. As a Claims Assistant, you will play a vital role in supporting the delivery of high‑quality claims service to injured employees, policyholders, and medical providers. Your work ensures that Claims Examiners have the accurate information, organized documentation, and administrative support they need to make timely, informed decisions. This is a role for someone who values accuracy, service, and teamwork. You will gather essential claim information, maintain detailed records, and serve as a key point of contact for customers seeking updates or assistance. In some cases, you may also manage a caseload of auto‑adjudicated claims, applying MSF best claim practices with care and consistency. This position blends administrative precision, customer service, and operational support, and offers opportunities to grow your skills while contributing to meaningful work that impacts the lives of Montanans. What you bring to the role: Professionalism & Integrity in representing MSF to customers and partners. Customer‑Centric Mindset with a focus on clear communication and timely support. Attention to Detail and accuracy in data entry, documentation, and file management. Organizational Strength with the ability to manage multiple tasks and shifting priorities. Adaptability & Flexibility in a fast‑paced, service‑oriented environment. Team Collaboration with a willingness to support colleagues and contribute to shared goals. Learning Agility and curiosity to understand claims processes, systems, and regulations. Self‑Driven Work Style with strong follow‑through and reliability.

Requirements

  • Required: Bachelor’s Degree, OR High school Diploma with 2 years of work experience, (Insurance related experience and/or Medical Bill Coding experience is preferred), OR An equivalent combination of education and experience.
  • Regular attendance and presence in the designated workplace and designated work schedule.
  • The training program consists of one month of onsite training, and continued onsite/hybrid training.
  • Technical skills appropriate for the position including the ability to use Microsoft Office tools without assistance.
  • Perform job duties in a safe and responsible manner in accordance with MSF safety guidelines and ergonomic recommendations.

Nice To Haves

  • Directly related workers compensation business related experience

Responsibilities

  • Claim Administration and Processing: Maintain clean and organized claims along side the claim examiner.
  • Gather wage information and enter claim center array fields.
  • Draft and send official correspondence, including letters/forms, e-mails and faxes.
  • Process payments by reviewing and paying medical bills, and calculating travel reimbursements.
  • Prepare detailed Excel documents and complete forms.
  • Communication and Information Management: Correspond with injured employees, policyholders, and providers via phone, e-mail and/or fax to get information or answer questions.
  • Including sending medical authorization packets and following up to get them back, sending and receiving claim files from other insurance companies, and communicating with a dedicated group of claim examiners about their claims on a regular basis.
  • Documentation and Support: Provide ongoing support to the claim examiners for their claims.
  • Reproduce and organize claim documents.
  • Maintain knowledge of current support processes and notify the claim examiner of any "red flags" on claims.

Benefits

  • Excellent health insurance with dental, vision, life, long-term disability and more, with optional dependent coverage.
  • Flexible spending accounts for dependent care and medical expenses.
  • Public employees’ retirement plan tax-deferred contributions with a generous employer match.
  • Optional 457(b) deferred compensation to further increase retirement savings.
  • Higher education reimbursement and other training and development programs.
  • Robust personal leave, paid holidays, and extended leave.

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Number of Employees

101-250 employees

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