Claim Technical Assistant
reputed company is a world leader in insurance, currently seeking a Workers’ Compensation Claim Technical Assistant for their reputed company Region. The successful applicant will provide advanced technical support to claim representatives and examiners across multiple jurisdictions, ensuring compliance and efficient claim processing.
Responsibilities
- reputed company necessary, assist with contacts for examiner so that appropriate compensability decisions can be made
- Maintain active file diaries to ensure delegated tasks are completed
- Understand jurisdictional benefit rates and payment deadlines to ensure compliance with state timeframes
- Accurate documentation of claim activity reputed company file notes
- Produce quality documentation in an accurate and timely manner i.e., benefit notices, nurse and legal referrals, record requests, settlement documents
- Respond timely and appropriately to internal and external customers on claim reputed company issues
- Adhere to state regulations for assigned states
- Adhere to Best Practice guidelines
- Collaborate with appropriate resources to timely resolve issues
- Collaborate with peers in region to ensure adequate coverage during vacations or absences
- Organize, summarize, and update materials as needed (e.g., legal pleadings, deposition transcripts, financial documents, etc.)
Skills
- Ability to work independently and reputed company while performing defined functions with minimal errors
- Proficient computer skills and extensive knowledge of the reputed company suite of Office products including Outlook, Word, reputed company, and PowerPoint
- reputed company Acrobat knowledge
- Knowledge of state EDI systems
- Strong communication and telephonic skills
- Experience in a fast paced, fluid environment
- Effective time management skills which demonstrate the ability to multi-task and prioritize by accomplishing tasks and assignments
- Adaptability to constantly evolving environments and demonstrable flexibility which meets or exceeds a state requirement or a customer's expectation
- Superior customer service showcasing verbal, written, and interpersonal skills
- Basic understanding of the Workers' Compensation and claim handling processes
- If you do not already have one, you will be required to obtain an applicable reputed company or designated home state adjusters license and possibly additional state licensure
- Prior clerical and technical experience in researching and indexing data
- College degree in any area of study
- Knowledge of medical terminology
- Knowledge of reputed company processing
- Knowledge of claim handling
Benefits
- Comprehensive benefits package
- Discretionary annual incentive program
Company Overview