Claims Assistant

SAIF Corporation•Street, MD

2d•$45,100 - $67,650•Hybrid

About The Position

As a claims assistant at SAIF, you’ll work with adjusters and others to ensure that injured workers receive timely and accurate information. This position offers lots of opportunities to learn and grow. You’ll be tracking down medical records, preparing documents, setting up appointments, auditing payments, and assisting with questions from injured workers, policyholders, attorneys, and medical providers. You’ll also be joining a diverse culture that embraces health and wellness, community, inclusion, and sustainability. We’re looking for someone with an excellent command of the three Cs—customer service, computer, and clerical skills—to join our fast-paced team. If you’re ready to make a difference for Oregon workers and employers, don’t delay. Please apply today. Note: Flexible workers may be required to travel to SAIF’s offices in Salem.

Requirements

Two years of increasingly responsible administrative office experience in a high-volume work, team-oriented environment with an emphasis on customer service.
A high school diploma or equivalent.

Nice To Haves

Workers' compensation claims background is helpful.
Other combinations of skills and experience may be considered.

Responsibilities

Maintain availability in the unit’s telephone queue and provide professional customer service to assist callers.
Respond to inquiries on own initiative by determining needs, researching and providing follow-up with customers, and forwarding those of a highly technical nature to adjusters.
Complete and submit correspondence needed to process claims.
Review and prepare documents for a variety of claims procedures including discovery and exhibit lists.
Research and obtain information from multiple sources to assure receipt of appropriate medical and claim information for adjusters.
Initiate contact and follow-up with medical providers, injured workers and policyholders to support claim activity including receipt of claim file documentation, coordinating medical appointments, and travel arrangements.
Audit claim records and issue closures within specified timelines to ensure accurate benefit delivery.
Enter and maintain claim file and computer information for thorough documentation and data integrity per SAIF policies and standards.
Communicate with adjusters and business partners to ensure accurate and timely completion of work.
Prioritize work load to manage competing priorities.
Participate in daily workload assignment and caseload balancing for claims adjusting staff.
May lead, mentor, and train other staff.