WC Claims Assistant

Davies•Orlando, FL

About The Position

The WC Claims Assistant supports claims specialists with the setup and administration of workers’ compensation claims. The position performs clerical and administrative duties throughout the claims-handling process, including managing correspondence, maintaining system notes and diaries, processing forms, organizing documentation, and identifying issues that need a claims specialist’s attention. The assistant helps ensure claim activity is documented accurately and promptly, and that file materials are organized appropriately, including separating documentation related to legal representation. The role requires dependable attendance, effective communication and customer service, strong organizational skills, and the ability to work accurately in a fast-paced environment while meeting expected timelines. The assistant works independently on daily tasks and under the direction of a claims specialist. If applicable and licensed, the employee is expected to maintain current knowledge of law and statutes, complete continuing education requirements, and keep their license current.

Requirements

  • High school diploma.
  • At least one year of office experience.
  • Good typing and personal-computer skills, with typing speed of 40+ WPM.
  • Good oral and written communication and customer service skills.
  • Excellent organizational skills and ability to work as a team player.
  • Ability to operate a personal computer and related claims and business software.
  • Ability to work accurately in a fast-paced position and meet expected policy and procedure timeframes.
  • Dependable attendance.

Nice To Haves

  • Active Florida adjuster license (5-24, 5-20, or 6-20).
  • Knowledge of Florida Workers’ Compensation statutes.
  • Medical terminology or medical-office experience.
  • Knowledge of Microsoft Word and Excel.

Responsibilities

  • Provide clerical assistance to claims specialists in a workers’ compensation claims environment.
  • Complete daily workers’ compensation claim-handling tasks independently and under the direction of a claims specialist.
  • Handle correspondence, letters, and mail on behalf of claims specialists.
  • Document notes and claim activity in the system file, and track activity using computerized systems.
  • Work assigned diaries and keep them current on a daily basis.
  • Copy, scan, organize, and electronically attach documentation to claim files.
  • Identify issues requiring a claims specialist’s attention.
  • Process form letters and state forms.
  • Handle No Record Legal Mail and obtain information needed to complete the Notice of Injury.
  • Review paper files for proper content, paying attention to legal aspects, and submit files to attorneys as directed.
  • Separate file documentation for legal purposes, including materials for defense counsel and the opposing injured-worker attorney.
  • Analyze work content to determine efficient ways to complete and expedite assignments.
  • If applicable and licensed, maintain current knowledge of law and statutes, complete CEUs, and keep the license current.
  • Perform miscellaneous administrative and support functions designated by a supervisor, and other duties as assigned.
  • Maintain regular and dependable attendance and be available to perform job responsibilities during established work hours.

Benefits

  • Medical, dental, and vision plans.
  • 401(k) plan with employer matching.
  • Time-off policies, including Discretionary Time Off for exempt employees and Paid Time Off for non-exempt employees.
  • Paid holidays.
  • Life insurance.
  • Short-term and long-term disability coverage.
  • Where required by law, paid sick leave, paid family and parental leave, and other mandated benefits.
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