Workers' Compensation Claims Assistant
About The Position
This is a full-time Workers' Compensation Claims Assistant position that 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. The role involves managing payment records, identifying and escalating unpaid invoices, sending claim-related documents to Defense Counsel, distributing new and renewal packets to Policyholders and PEO clients, receiving and updating claim status calls, performing claim intake for new OMP WC claims, pulling and providing policy and claim documents to Adjusters, responding to claims emails, and distributing mail. The position also requires performing work in various systems and vendor sites, and compiling reports and documentation.
Requirements
- One (1) year of workers’ compensation claims assistant experience
- High school diploma or equivalent required
Nice To Haves
- Bilingual preferred
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
