Workers Compensation Claims Assistant - Salinas
Company: Intercare Insurance
Location: Salinas
Posted on: May 23, 2023
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Job Description:
Workers Compensation Claims Assistant IJob DetailsJob
TypeFull-timeSalinas, CADescriptionSummary:Reports directly to the
unit Claims Supervisor but takes primary direction for the assigned
Claims Specialist(s). Responsible for providing clerical operations
support to assigned Claims Specialist(s).Essential Duties and
Responsibilities:Prepares new claims filesCalculates TTD, Wage
Loss, VRMA and PD benefitsIssues compensation payments on diary
scheduleIssues Benefit NoticesDoctor status calls and
Employee/Employer contact callsEmployer contact calls to confirm
light duty/modifies workWorks closely with Claims Specialist to
complete clerical assignmentsPrepares litigation documents such as
C&R, Stipulations, Answers, etcPrepares rehabilitation forms
for filing with the rehabilitation unitHandle calls from providers
inquiring about unpaid bills and bill related questionsReview Mail
and process direct pays bills such as Mileage ReimbursementFile and
Serve duties (as needed)Notepad documentation in
PortalRequirementsCompetency:To perform the job successfully, an
individual should demonstrate the following competencies:Problem
Solving - Identifies and resolves problems in a timely manner;
Gathers and analyzes information skillfully; Develops alternative
solutions; Works well in group problem solving situations.Customer
Service - Manages difficult or emotional customer situations;
Responds promptly to customer needs; Solicits customer feedback to
improve service; Responds to requests for service and assistance;
Meets commitments.Team Work - Supports everyone's efforts to
succeed.Qualification Requirements:To perform this job
successfully, an individual must be able to perform each essential
duty satisfactorily. The requirements listed below are
representative of the knowledge, skill, and/or ability required.
Reasonable accommodations may be made to enable individuals with
disabilities to perform the essential functions.Education and/or
Experience:High school diploma or general education degree (GED);
or 1-2 years related experience and/or training; or equivalent
combination of education and experience.USAvoGiff4
Keywords: Intercare Insurance, Salinas , Workers Compensation Claims Assistant - Salinas, Other , Salinas, California
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