Claims Assistant - Workers Compensation Details

Claims Assistant - Workers Compensation

Tristar Insurance - Houston, TX

Employment Type : Full-Time

POSITION SUMMARY: Under close supervision performs clerical and data entry tasks that assist in administration of workers’ compensation claims. This position requires considerable interaction with claimants on the phone, and with management, other Claims Examiners, and other TRISTAR staff in the office; therefore consistently being at work in the office, in a timely manner, is inherently required of this position.

DUTIES AND RESPONSIBILITIES:

• Sets up new claims in system and paper files, ensuring all documentation is present and correct.*
• Prepares, schedules, and processes benefit and medical payments on claim files as directed by the Claims Examiner.*
• Documents all work product and claim activity in the electronic claim file.*
• Prepares and prints letters, benefit notices and labels.*
• Provides clerical support, including filing, faxing, sorting, photocopying, and alphabetizing.*
• Communicates pertinent claim information to the client, legal counsel, medical and rehab providers and internal claims staff.*
• Answers phone calls, take messages and responds appropriately.*
• Other duties as assigned.

• Essential job function.

QUALIFICATIONS REQUIRED:

Education/Experience: High school diploma or GED, and one (1) year experience in the workers’ compensation claims industry (preferred).

Knowledge, Skills and Abilities:

• Proficient keyboarding skills (type 45 wpm).
• Working knowledge of medical/legal terminology.
• Ability to alphabetize and collate.
• Proficient in Word.
• Ability to follow written and spoken instructions from several individuals.
• Ability to produce accurate and detailed work.
• Excellent verbal and written communication skills.
• Courteous telephone skills.
• Ability to effectively prioritize multiple projects and due dates.
• Ability to work independently, as well as in cooperation with workgroup.