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    Workers Compensation Claims Assistant I - Glendale, United States - Intercare Insurance

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    Description

    Job Description

    Job DescriptionWorkers Compensation Claims Assistant IJob Details

    Job Type

    Full-time

    GLENDALE, CA

    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.

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