Sr. Assistant Workers Comp Claims

Sr. Claims Assistant

CopperPoint has an exciting opportunity for a fully remote Sr. Claims Assistant. This role provides critical clerical and administrative support to claim adjusters and the claim management team throughout the claim management process. As a senior-level assistant, this position works with a high degree of independence, takes on greater responsibility, and contributes to the training and development of less experienced staff.

Job responsibilities:

• Provide clerical/administrative support to the workers compensation claim adjusters and the claim management team.
• Issue notices and letters timely and accurately in accordance with statutory guidelines.
• Successfully pass all regulatory, internal and external audits
• Process payments and benefits timely and accurately
• Follow special handling instructions regarding client-specific processes and procedures.
• Accurately maintain related claim processing and procedure records.
• Keep files on current diary system to timely monitor new developments and to follow up on outstanding requests.
• Respond to all other diary activities.
• Partner with team members to move files to positive outcomes and document results.
• Participate in committee and/or meetings and provide/receive input on bringing issues to best possible resolution.
• Adhere to service standards, proper file coding and special claims handling instructions.
• Timely complete medical contacts on appropriate files.
• Complete medical provider contacts timely and accurately on all claims with temporary disability benefits.
• Address internal and external customer service needs timely and professionally
• Actively participate in departmental special project work.
• Partner in the training and development of less experienced claim assistants.
• Oversee claim assistant workloads and ensure timely completion of the claim assistant work.
• Successfully complete the annual corporate Code of Conduct Training. Demonstrate full knowledge, understanding and compliance with the Code.

Qualifications/Competencies:

• Bachelor's degree preferred.
• 3+ years' experience in a claim assistant role or equivalent.
• Insurance Education Association (IEA) or Self-Insurance Plan (SIP) certification or equivalent preferred
• Exceptional judgment and prioritization skills.
• Exceptional written and verbal communication skills.
• Exceptional customer service skills.
• Ability to anticipate problems and resolve issues proactively.
• Computer skills and knowledge of relevant software.
• Exceptional organizational and time management skills.
• Spanish Bilingual a plus
• Strong collaboration skills requires the ability to partner with vendors, team members and managers to move files to positive conclusion.
• Intermediate level math and calculator skills.

Benefits: Employees and their families are eligible to participate in CopperPoint Insurance Companies benefit plans including medical, dental, vision, short-term disability, long-term disability, life insurance, a health savings account, a flexible spending account, and a 401k plan. We provide some benefits at no cost to the employee (Basic Life Insurance and AD&D at two times an employee's annual salary, Short- and Long-term Disability coverage, and Employee Assistant Plan). Employees will accrue 0.0692 hours of Paid Time Off (PTO) per paid hour, which may total 18 days a year. In addition, employees will also receive 10 paid holidays throughout the calendar year. Salary Range: $50,000.00 - $69,000.00 annually Compensation may vary depending on skills, experience, education, and geographical location. In addition to base salary, compensation may include an annual discretionary bonus.