Workers Compensation Claims Assistant I

4 weeks ago


Glendale, United States Intercare Holdings Insurance Services Inc Full time
Job DescriptionJob DescriptionDescription:

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.



  • Glendale, United States Sedgwick Claims Management Services Full time

    To provide support to the claims staff and to perform other office tasks depending on the client program. ESSENTIAL FUNCTIONS and RESPONSIBILITIES - Sets up and enters new claims into claims management system. Inputs and reviews notes/diaries in clai Workers Compensation, Claims, Assistant, Worker, Compensation, Administrative, Insurance


  • Glendale, United States TheBest Claims Solutions Full time

    Our client, a Third Party Administrator, is looking for multiple Workers Compensation Adjusters to join their team on a Direct Hire basis. This will be a Hybrid position in their Glendale, CA office.Required Qualifications:1+ years of Workers' Compensation Claims ExperiencePerform a three-point contact on all new losses within 24 hours of receipt of the...


  • Glendale, Arizona, United States TheBest Claims Solutions Full time

    Our client, a Third Party Administrator, is looking for a Workers Compensation Adjuster to join their team in a Temporary role. This will be a Hybrid position in their Glendale, CA office.Required Qualifications:3+ years of Workers' Compensation Claims ExperiencePerform a three-point contact on all new losses within 24 hours of receipt of the claim to...


  • Glendale, United States Intercare Holdings Insurance Services Inc Full time

    Job DescriptionJob DescriptionDescription:Summary:Under close supervision, analyzes insurance claims to determine extent of insurance carrier's liability and settles claims with claimants in accordance with policy provisions by performing the following duties.Essential Duties and Responsibilities:Three-point contact, initial investigation, initial...


  • Glendale, United States Intercare Holdings Insurance Services, Inc. Full time

    Job Type Full-time Description Summary: Under close supervision, analyzes insurance claims to determine extent of insurance carrier's liability and settles claims with claimants in accordance with policy provisions by performing the following duties. Essential Duties and Responsibilities: Three-point contact, initial investigation, initial benefit...


  • Glendale, United States Intercare Holdings Insurance Services, Inc. Full time

    Job Type Full-time Description Summary: Under close supervision, analyzes insurance claims to determine extent of insurance carrier's liability and settles claims with claimants in accordance with policy provisions by performing the following duties. Essential Duties and Responsibilities: Three-point contact, initial investigation, initial benefit...


  • Glendale, California, United States Intercare Insurance Full time

    Job OverviewPosition: Workers Compensation Claims Assistant ILocation: Glendale, CAPosition Summary:The Workers Compensation Claims Assistant I plays a crucial role in delivering administrative support to designated Claims Specialists. This position is essential for ensuring efficient claims processing and communication.Key Responsibilities:Establishes new...


  • Glendale, United States Intercare Holdings Insurance Services, Inc. Full time

    Job Type Full-time 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...


  • Glendale, United States TheBest Claims Solutions Full time

    Our client, a Third Party Administrator, is looking for multiple Workers Compensation Adjusters to join their team on a Direct Hire basis. This will be a Hybrid position in their Glendale, CA office.Required Qualifications:1+ years of Workers' Compensation Claims ExperiencePerform a three-point contact on all new losses within 24 hours of receipt of the...


  • Glendale, Arizona, United States Intercare Insurance Full time

    Job Description**Job Summary:**As a Workers Compensation Claims Specialist at Intercare Insurance, you will play a critical role in managing and resolving workers' compensation claims in a timely and efficient manner. This position requires a high degree of claims handling expertise, including experience in managing indemnity cases with complex or high...


  • Glendale, United States Intercare Insurance Full time

    Job DescriptionJob DescriptionWorkers Compensation Claims Assistant IJob DetailsJob TypeFull-timeGLENDALE, CADescription 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...


  • Glendale, United States Intercare Holdings Insurance Services Inc Full time

    Job DescriptionJob DescriptionDescription: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:At the direction of the Claims Specialist, verifies wage information by...


  • Glendale, California, United States Intercare Insurance Full time

    Job OverviewPosition: Workers Compensation Claims Assistant ILocation: Glendale, CARole Summary:The Workers Compensation Claims Assistant I plays a crucial role in supporting the Claims Specialist(s) by managing various clerical tasks associated with claims processing.Key Responsibilities:Organizes and sets up new claims documentationCalculates and verifies...


  • Glendale, California, United States Intercare Holdings Insurance Services, Inc. Full time

    Job SummaryIntercare Holdings Insurance Services, Inc. is seeking a highly skilled Claims Supervisor to lead our Workers Compensation Claims team. As a key member of our organization, you will be responsible for overseeing the claims process, ensuring compliance with Labor Code rules and regulations, and providing guidance to Claims Specialists and...


  • Glendale, United States Intercare Holdings Insurance Services, Inc. Full time

    Job Type Full-time Description Summary: Reports directly to the Claims Manager. Under the direction of the Claims Manager, is responsible for the overall work product of a claims unit comprised of Claims Specialists who manage assigned inventories of claim files. The unit also includes Claims Assistants who are responsible for providing clerical support to...


  • Glendale, United States Intercare Holdings Insurance Services Inc Full time

    Job DescriptionJob DescriptionDescription:Summary:Reports directly to the Claims Manager. Under the direction of the Claims Manager, is responsible for the overall work product of a claims unit comprised of Claims Specialists who manage assigned inventories of claim files. The unit also includes Claims Assistants who are responsible for providing clerical...


  • Glendale, United States Intercare Holdings Insurance Services, Inc. Full time

    Job Type Full-time Description Summary: Reports directly to the Claims Manager. Under the direction of the Claims Manager, is responsible for the overall work product of a claims unit comprised of Claims Specialists who manage assigned inventories of claim files. The unit also includes Claims Assistants who are responsible for providing clerical support to...


  • Glendale, United States Intercare Holdings Insurance Services, Inc. Full time

    Job Type Full-time 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: At the direction of the Claims Specialist, verifies wage information by...


  • Glendale, United States Intercare Holdings Insurance Services, Inc. Full time

    Job Type Full-time Description Summary: Reports directly to the unit Claims Supervisor. In accordance with applicable statutes and in keeping with company rules, regulations, and established performance objectives, is responsible for effectively managing to conclusion an assigned inventory of claim files.Essential Duties and Responsibilities: Perform a...


  • Glendale, United States Intercare Holdings Insurance Services, Inc. Full time

    Job Type Full-time Description Summary: Reports directly to the unit Claims Supervisor. In accordance with applicable statutes and in keeping with company rules, regulations, and established performance objectives, is responsible for effectively managing to conclusion an assigned inventory of claim files.Essential Duties and Responsibilities: Perform a...