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Workers Compensation Claims Assistant - Salinas

Company: Intercare Insurance
Location: Salinas
Posted on: May 23, 2023

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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