Claims Assistant - Workers' compensation

TRISTAR RISK MANAGEMENT • Waukesha, WI

4d • $18 - $22 • Onsite

About The Position

Under close supervision, performs clerical and data entry tasks that assist in the administration of workers’ compensation claims. This position requires considerable interaction with claimants on the phone, and with management, other Claims Examiners, and other TRISTAR staff in the office; therefore, consistently being at work in their home office, in a timely manner, is inherently required of this position.

Requirements

• High school diploma or GED
• One (1) year experience in the workers’ compensation claims industry (preferred)
• Proficient keyboarding skills (type 45 wpm)
• Working knowledge of medical/legal terminology
• Ability to alphabetize and collate
• Proficient in Word
• Ability to follow written and spoken instructions from several individuals
• Ability to produce accurate and detailed work
• Excellent verbal and written communication skills
• Courteous telephone skills
• Ability to effectively prioritize multiple projects and due dates
• Ability to work independently, as well as in cooperation with workgroup
• Reasoning development: Follow one- or two-step instructions; routine, repetitive task.
• Mathematical development: Arithmetic calculations involving fractions, decimals, and percentages.
• Language development: Ability to compose original correspondence, follow technical manuals, and have increased contact with people.
• Physical activity: Light work - Exerting up to 20 pounds of force occasionally, up to 10 pounds frequently, and a negligible amount of force constantly to move objects. Sedentary work involves sitting most of the time.
• Visual requirements: Near vision, Mid-range vision, Depth perception, Color vision.
• Physical activity necessary: Stooping, Kneeling, Crouching, Reaching, Standing, Walking, Pushing, Pulling, Lifting, Fingering, Grasping.
• Communication: Talking, Hearing, Repetitive Motion.

Nice To Haves

• One (1) year experience in the workers’ compensation claims industry

Responsibilities

• Sets up new claims in system and paper files, ensuring all documentation is present and correct.
• Prepares, schedules, and processes benefit and medical payments on claim files as directed by the Claims Examiner.
• Documents all work product and claim activity in the electronic claim file.
• Prepares and prints letters, benefit notices and labels.
• Provides clerical support, including filing, faxing, sorting, photocopying, and alphabetizing.
• Communicates pertinent claim information to the client, legal counsel, medical and rehab providers and internal claims staff.
• Answers phone calls, take messages and responds appropriately.
• Other duties as assigned.

What This Job Offers

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