Claim Technical Assistant
- Provide technical support requiring critical thinking skills on workers' compensation claim files
- Maintain active file diaries to ensure delegated tasks are completed
- Understand jurisdictional benefit rates and payment deadlines to ensure compliance with state timeframes
- Accurate and clear documentation of claim activity within file notes
- Complete state required filings with accuracy and in a timely manner
- Communicate with involved parties on claim files on behalf of the claim examiners at times
- Respond timely and appropriately to internal and external customers on claim related issues
- Adhere to state regulations for assigned states
- Collaborate with appropriate resources to timely resolve issues
- Collaborate with peers in region to ensure adequate coverage during vacations or absences.
- When necessary, assist with contacts for examiner so that appropriate compensability decisions can be made Technical Skills & Competencies
- Superior customer service showcasing verbal, written, and interpersonal skills
- Aptitude for evaluating, analyzing, and interpreting information
- 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
- Ability to work independently and efficiently while performing defined functions
- Basic understanding of the Workers' Compensation and claim handling processes
- Proficient computer skills and extensive knowledge of the Microsoft suite of Office products including Outlook, Word, Excel, and PowerPoint; Adobe Acrobat; and knowledge of state EDI systems a plus
- Prior clerical and technical experience in researching and indexing data are preferred but not required
- Proficiency with Microsoft Office Products
- Experience in a fast paced, fluid environment
- Strong communication and telephonic skills
- Knowledge of medical terminology is a plus but not required
- Knowledge of bill processing is a plus but not required
- Knowledge of claim handling is a plus but not required
- College degree in any area of study is preferred but not required
- If you do not already have one, you will be required to obtain an applicable resident or designated home state adjusters license and possibly additional state licensure
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