Claims Assistant

ICW Group • Pleasanton, CA

2d • $20 - $31

About The Position

Are you looking to make an impactful difference in your work, yourself, and your community? Why settle for just a job when you can land a career? At ICW Group, we are hiring team members who are ready to use their skills, curiosity, and drive to be part of our journey as we strive to transform the insurance carrier space. We're proud to be in business for over 50 years, and its change agents like yourself that will help us continue to deliver our mission to create the best insurance experience possible. Headquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for ten consecutive years as a Top 50 performing P&C organization offering the stability of a large, profitable and growing company combined with a focus on all things people. It's our team members who make us an employer of choice and the vibrant company we are today. We strive to make both our internal and external communities better everyday! Learn more about why you want to be here! PURPOSE OF THE JOB The purpose of this job is to provide administrative support and overall assistance to Claims Examiners. This position exists to ensure the timely payment of benefits and administration of claims in compliance with state law. ESSENTIAL DUTIES AND RESPONSIBILITIES Delivers basic to intermediate administrative support to Claims Examiners. Contacts insured or other involved persons to obtain necessary information to process claim. Documents conversations or information on appropriate enterprise resource planning (ERP) system. Organizes and works with Examiner using computer to enter, access, search and retrieve data. Stays current with diary tasks and procedural changes. Imparts exceptional customer service to internal and external customers, including insureds. Provides information to insureds, injured workers or provides referrals to outside vendors as requested by the Examiner. Processes claims for indemnity payments and state mandated forms. Processes non-medical payments. Organizes and works with Examiner using computer to enter, access, search, and retrieve data. Assists Claims Examiner with complete post-claims resolution and related administrative projects. Schedules appropriate medical appointments, calculates mileage and sends appointment letter reminders. Interacts with nurse on case management regarding return to work status. Supports Claims Examiners in the preparation, processing and monitoring of payments.

Requirements

• High school diploma or general education degree (GED) required.
• Minimum 1 year of related experience and/or training; or equivalent combination of education and experience.
• Basic understanding of office procedures.
• Solid customer service, phone and time management skills.
• Intermediate Microsoft Office Suite: Outlook, Word, Excel, PowerPoint as well as the ability to learn enterprise resources planning (ERP) software.
• Excellent data entry, strong attention to detail and ability to prioritize assignments.
• Ability to read, write and comprehend simple instructions, short correspondence and memos.
• Ability to add, subtract, multiply and divide using whole numbers, common fractions and decimals.
• Ability to compute rate, ratio and percent and to draw and interpret bar graphs.
• Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions.

Responsibilities

• Delivers basic to intermediate administrative support to Claims Examiners.
• Contacts insured or other involved persons to obtain necessary information to process claim.
• Documents conversations or information on appropriate enterprise resource planning (ERP) system.
• Organizes and works with Examiner using computer to enter, access, search and retrieve data.
• Stays current with diary tasks and procedural changes.
• Imparts exceptional customer service to internal and external customers, including insureds.
• Provides information to insureds, injured workers or provides referrals to outside vendors as requested by the Examiner.
• Processes claims for indemnity payments and state mandated forms.
• Processes non-medical payments.
• Organizes and works with Examiner using computer to enter, access, search, and retrieve data.
• Assists Claims Examiner with complete post-claims resolution and related administrative projects.
• Schedules appropriate medical appointments, calculates mileage and sends appointment letter reminders.
• Interacts with nurse on case management regarding return to work status.
• Supports Claims Examiners in the preparation, processing and monitoring of payments.

Benefits

• We offer a competitive benefits package, with generous medical, dental, and vision plans as well as 401K retirement plans and company match
• Bonus potential for all positions
• Paid Time Off
• Paid holidays throughout the calendar year
• Want to continue learning? We’ll support you 100%

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees