Sr. Assistant Workers Comp Claims

CopperPoint Insurance Companies•Thousand Oaks, CA

1d•$50,000 - $69,000•Remote

About The Position

CopperPoint has an exciting opportunity for a fully remote Sr. Claims Assistant. This role provides critical clerical and administrative support to claim adjusters and the claim management team throughout the claim management process. As a senior-level assistant, this position works with a high degree of independence, takes on greater responsibility, and contributes to the training and development of less experienced staff.

Requirements

3+ years’ experience in a claim assistant role or equivalent.
Exceptional judgment and prioritization skills.
Exceptional written and verbal communication skills.
Exceptional customer service skills.
Ability to anticipate problems and resolve issues proactively.
Computer skills and knowledge of relevant software.
Exceptional organizational and time management skills.
Strong collaboration skills – requires the ability to partner with vendors, team members and managers to move files to positive conclusion.
Intermediate level math and calculator skills.

Nice To Haves

Bachelor’s degree preferred.
Insurance Education Association (IEA) or Self-Insurance Plan (SIP) certification or equivalent preferred
Spanish Bilingual a plus

Responsibilities

Provide clerical/administrative support to the workers compensation claim adjusters and the claim management team.
Issue notices and letters timely and accurately in accordance with statutory guidelines.
Successfully pass all regulatory, internal and external audits
Process payments and benefits timely and accurately
Follow special handling instructions regarding client-specific processes and procedures.
Accurately maintain related claim processing and procedure records.
Keep files on current diary system to timely monitor new developments and to follow up on outstanding requests. Respond to all other diary activities.
Partner with team members to move files to positive outcomes and document results.
Participate in committee and/or meetings and provide/receive input on bringing issues to best possible resolution.
Adhere to service standards, proper file coding and special claims handling instructions.
Timely complete medical contacts on appropriate files.
Complete medical provider contacts timely and accurately on all claims with temporary disability benefits.
Address internal and external customer service needs timely and professionally
Actively participate in departmental special project work.
Partner in the training and development of less experienced claim assistants.
Oversee claim assistant workloads and ensure timely completion of the claim assistant work.
Successfully complete the annual corporate Code of Conduct Training. Demonstrate full knowledge, understanding and compliance with the Code.