Claims Assistant

ICW Group•Sacramento, CA

2d•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 position works with insureds, claimants, vendors, legal counsel, service providers, clients, and internal claims staff to collect, document, update, and communicate claim information. It also supports claim payment processing, required forms, auditing documentation, and administrative projects through claim resolution. The role operates in an office environment and has no supervisory responsibilities.

Requirements

High school diploma or GED.
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.
Basic math skills, including adding, subtracting, multiplying, and dividing 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 executing work deliverables from 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 claims information and access, search, and retrieve data.
Stay current with diary tasks and procedural changes.
Provide exceptional customer service to internal and external customers.
Provide information to insureds, claimants, and outside vendors as requested by the Examiner.
Process claims for indemnity payments and state-mandated forms, as well as other appropriate claim-related payments.
Assist Claims Examiners with claim resolution and related administrative projects.
Support Claims Examiners in preparing, processing, and monitoring payments.
Communicate pertinent claim information to clients, legal counsel, service providers, and internal claims staff.
Ensure documentation required to process claims is accurate and complete for auditing purposes.