ESIS Senior Claims Assistant

Chubb•Ledyard, IA

7h•Onsite

About The Position

The Claims Assistant provides critical administrative and operational support for the Workers’ Compensation and Risk Management team at the Mashantucket Pequot Tribal Nation/Foxwoods Casino. This role is responsible for intake coordination, document management, and customer service, ensuring efficient claims processing and compliance with Tribal and regulatory requirements.

Requirements

Workers’ Compensation and Risk Management team support
Intake coordination
Document management
Customer service
Claims processing
Compliance with Tribal and regulatory requirements
Light Duty Coordinator responsibilities
Authorization of prescriptions
Coordination with One Call Medical
Indexing and managing medical reports
Completing and distributing First Report of Injury forms
Maintaining records for OSHA log completion
Scanning, indexing, and organizing medical and therapy reports
Timely correspondence in WorkView system
Processing and paying American Ambulance and Tribal Pharmacy bills
Indexing hearing dockets
Preparing files for hearings
Registering all claims
Completing clerical instructions
Performing mailroom duties

Responsibilities

Greet visitors, answer the door, and direct individuals to ESIS, Risk Management, Onsite Clinic, Physical Therapy, or HR Benefits offices.
Screen newly injured employees and coordinate intake, determining assignment to adjuster or Medical Only.
Contact departments to confirm light duty accommodations for employees.
As Light Duty Coordinator: Meet with injured employees to review program and assign suitable light duty jobs based on restrictions. Escort employees to assigned positions and maintain ongoing communication to ensure compliance. Track and submit weekly time sheets for light duty employees to payroll.
Authorize prescriptions with Tribal Pharmacy for injured employees as directed by the Onsite Clinic.
Meet daily with Clinical Coordinator to review and follow up on physical therapy, MRI, and care transfer authorizations.
Coordinate with One Call Medical for MRI/EMG requests on claims.
Index and manage daily medical reports.
Complete and distribute First Report of Injury forms, maintaining records for OSHA log completion.
Scan, index, and organize medical and therapy reports, ensuring timely correspondence in WorkView system.
Process and pay American Ambulance and Tribal Pharmacy bills locally, including monthly report indexing and scanning.
Index hearing dockets, prepare files for hearings, and print necessary documents.
Register all claims and complete clerical instructions assigned.
Perform mailroom duties, including postage, opening, and indexing mail.