WC Claims Associate

Berkley•Saint Paul, MN

17h

About The Position

This role assists in the processing of workers’ compensation claims by performing technical and clerical duties as directed by the examiners. The WC Claims Associate acts as an assistant to an assigned claims team and works within a team environment to meet time-sensitive filing requirements and maintain a current workload. Responsibilities include requesting and providing information to various parties via telephone, mail, or fax, completing forms, checking issuance and related autopay entry, calculating and entering reserves on assigned Permanently and Totally Disabled claims, maintaining a current diary on these claims, determining the accuracy of employee reimbursement requests, accurately and timely documenting work activity, resolving issues and inquiries regarding medical treatment bills, and resolving claims related address, coding, vendor, and accounting issues. The role also involves maintaining the organization of claim files and providing professional customer service to all internal and external customers. Additional duties may be assigned as necessitated by changes in staffing and workflow.

Requirements

Minimum one-year work experience or post-high school education.
Work experience should demonstrate organizational skills, time management skills, multi-tasking skills, verbal and written skills, and detail-orientation.
Basic PC skills and a working knowledge of Windows environment.
Ability to type 40 wpm
10-Key by touch
Knowledge of basic math functions with 98% accuracy.

Responsibilities

Assist in the processing of workers’ compensation claims by performing technical and clerical duties as directed by the examiners.
Act as assistant to an assigned claims team.
Work within a team environment to meet time sensitive filing requirements as well as maintain a current workload.
Request information from or provide information to the employee, employer, providers, attorneys, co-workers, MN WC Division, third parties, and others as directed. (via telephone, mail, or fax)
Form completion
Check issuance and related autopay entry as appropriate.
Calculation and entry of reserves on assigned Permanently and Totally Disabled claims.
Maintain a current diary on assigned Permanently and Totally Disabled claims.
Determine accuracy of employee reimbursement requests.
Accurate and timely electronic documentation of your work activity
Resolve issues and inquiries regarding medical treatment bills.
Resolve claims related address, coding, vendor, and accounting issues.
Maintain organization of claim files.
Provide professional customer service to all internal and external customers.
Additional duties as necessitated by changes in staffing and workflow.
May perform other functions as assigned.