Workers' Compensation Claims Assistant
About The Position
Frank Winston Crum Insurance (FWCI) issues Workers’ Compensation and General Liability policies by offering flexible coverage and payment options to meet the varied needs of businesses. Over the years, FWCI has grown from a single-state insurance carrier to one that is licensed in over 40 states and continues to expand. In addition to regional and product line growth, FWCI has enhanced its value-added services. What has not changed though is the firm’s commitment – echoed throughout the family of companies – “always to do the right things for the right reasons!” This role contributes to the mission of FrankCrum by providing support to department leadership and claims staff to ensure the team is meeting performance standards and procedures.
Requirements
- One (1) year of workers’ compensation claims assistant experience
- High school diploma or equivalent required
Nice To Haves
- Knowledge of company services and products
Responsibilities
- Updates payment records and identifies and escalates any unpaid invoices in the Legal Billing System.
- Sends electronic copies of internal files to Defense Counsel when requested.
- Sends out new and renewal packets for Policyholders and PEO clients, including WC posting notice, Intro letter, WC reporting guidelines, provider panels, and panel requirements for panel states.
- Receives incoming calls requesting claim status and updates; escalates as needed.
- Performs claim intake for all new OMP WC claims received via mail, email, or phone call.
- Pulls and provides to Adjuster all policy and claim documents related to claims.
- Provides Adjuster with Policyholder and Agency contact information.
- Reviews OMP claims for appropriate assignments and policies.
- Responds to claims emails with claim number and adjuster information on assigned claims.
- Escalates issues to Claims Supervisor or upper management where appropriate.
- Receives and distributes paper and electronic mail.
- Performs work in various systems and vendor sites; compiles various reports and documentation.
Benefits
- Health Insurance is zero dollar paycheck cost for employee's coverage and a low cost for family plan.
- Dental and Vision Insurance
- Short Term Disability and Term Life Insurance at no cost to the employee
- Long Term Disability and Voluntary Term Life Insurance
- Supplemental insurance plans such as Accidental, Critical Illness, Hospital Indemnity, Legal Services and Pet Insurance
- 401(k) Retirement Plan where FrankCrum matches 100% of the first 4% the employee contributes, and the employee is immediately vested in the employer match
- Flexible Spending Accounts for Medical and Dependent Care Reimbursement
- Health Savings Account funded by FrankCrum
- Paid time off and holiday pay
- Education Benefit Program at the IRS Maximum allowance
- PTO cash out
- Tickets at Work
- Alero Financial and its robust credit union benefits program
- Employee and client referral bonus programs
- Disaster Relief Fund for employees
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
