Claims Assistant

Trean Corporation•Ontario, CA

3d•$20 - $23•Onsite

About The Position

The Claims Assistant will provide administrative support to Claims Adjusters with workers compensation claims and learn the overall process of claims handling.

Requirements

Excellent analytical skills
Excellent verbal and written communication skills
Strong organizational skills
Strong oral and written communication skills
High school diploma or GED required
Strong work ethic, timeliness, and ability to meet various deadlines
Must be able to be in the office to perform work functions
No previous insurance experience required

Nice To Haves

Bachelor’s degree or equivalent experience preferred

Responsibilities

Maintain a consistent office presence during normal business hours Monday through Friday.
Receive incoming mail, write the applicable claim number on the document, distribute or scan the mail, attach it to the claim file as required, and direct it to the appropriate claims adjuster or employee within 24 hours of receipt.
Prepare and mail form letters including acceptance letters, bill denial letters, applicable form letters, and wage determination letters for adjuster, including required enclosures and appeal forms, within 48 hours of receiving the assignment.
Set up new claims in the software system (Origami) based on documentation from the employer, injured worker, attorney, or medical provider within 12 business hours of receipt of the claim.
Assist claims adjusters with scheduling timely appointments with medical providers as requested, completing assignments within 48 hours unless otherwise stated by the adjuster.
Provide copies of claim files and mail them to medical providers, attorneys, and others as directed by the adjuster or supervisor. Litigation-related files are to be completed within 48 hours, and medical reporting to providers within 5 days, ensuring it's sent in advance of any consultation or evaluation.
Pay bills for various expenses, including legal bills and managed care bills, as assigned by the supervisor or adjuster.
Scan all hard copy correspondence, including paid bills and medical reporting, into the claim system for both open and closed claims, verifying that medical bills are indexed and labeled consistent with EOR/EOB related to bill payment.
Perform other activities, duties, and assignments as needed or requested.
Maintain a regular presence in the office.