Workers Compensation Claims Assistant I
full-time•Glendale
About this role
Description
Summary:
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 files
- Calculates TTD, Wage Loss, VRMA and PD benefits
- Issues compensation payments on diary schedule
- Issues Benefit Notices
- Doctor status calls and Employee/Employer contact calls
- Employer contact calls to confirm light duty/modifies work
- Works closely with Claims Specialist to complete clerical assignments
- Prepares litigation documents such as C&R, Stipulations, Answers, etc
- Prepares rehabilitation forms for filing with the rehabilitation unit
- Handle calls from providers inquiring about unpaid bills and bill related questions
- Review Mail and process direct pays bills such as Mileage Reimbursement
- File and Serve duties (as needed)
- Notepad documentation in Portal
Requirements
Competency:
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.
We’re an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.
Pursuant to the Los Angeles and San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest or conviction records.
What you'll do
- The Workers Compensation Claims Assistant I is responsible for providing clerical operations support to assigned Claims Specialist(s) and preparing new claims files. Key tasks include calculating benefits, issuing payments, and preparing litigation documents.
About Intercare Holdings Insurance Services
Intercare Holdings Insurance Services is service provider of results-driven loss cost solutions to public and private entities. Our philosophy of providing attentive, hands-on, high quality claims administration and managed care services has made us the go-to source for customized risk management programs and loss cost solutions across the United States.
The basic operating premises of Intercare have always been integrity, transparency, and customer service. Each Intercare employee maintains a strong focus and commitment to client satisfaction and is a critical reason for Intercare’s long history of success.
Intercare is now an AvonRisk company—joining a national platform purpose-built to elevate boutique TPAs with shared infrastructure and resources, giving us even more strength to serve our clients with the high-touch attention they've come to expect from us.
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Frequently Asked Questions
What does a Workers Compensation Claims Assistant I do at Intercare Holdings Insurance Services?
As a Workers Compensation Claims Assistant I at Intercare Holdings Insurance Services, you will: the Workers Compensation Claims Assistant I is responsible for providing clerical operations support to assigned Claims Specialist(s) and preparing new claims files. Key tasks include calculating benefits, issuing payments, and preparing litigation documents..
Is the Workers Compensation Claims Assistant I position at Intercare Holdings Insurance Services remote?
The Workers Compensation Claims Assistant I position at Intercare Holdings Insurance Services is based in Glendale, California, United States. Contact the company through Clera for specific work arrangement details.
How do I apply for the Workers Compensation Claims Assistant I position at Intercare Holdings Insurance Services?
You can apply for the Workers Compensation Claims Assistant I position at Intercare Holdings Insurance Servicesdirectly through Clera. Click the "Apply Now" button above to start your application. Clera's AI-powered platform will help match your profile with this opportunity and guide you through the application process.