Claims Assistant

4 days ago


Remote, Oregon, United States Pie Insurance Full time $40,000 - $70,000 per year

Pie's mission is to empower small businesses to thrive by making commercial insurance affordable and as easy as pie. We leverage technology to transform how small businesses buy and experience commercial insurance.

Like our small business customers, we are a diverse team of builders, dreamers, and entrepreneurs who are driven by core values and operating principles that guide every decision we make.

The Workers' Compensation Claims Assistant's primary role is to provide administrative and technical support for Claims Adjusters and to perform various administrative tasks in support of claim handling requirements. Pie's Claims Team is 100% remote-based and strategically deployed across the states we write business in. Pie dedicates significant resources and support to ensuring our remote Pie-oneers are set up for success

How You'll Do It

Data Entry:

  • Enter and review claim notes in the claims management system.
  • Create, review and complete tasks in the claims management system.
  • Review and describe mail in the claims management system.
  • Update and maintain data integrity in the claims management system.

Technical Administrative Support:

  • Process payments, such as mileage reimbursement and vendor payments
  • Create and send benefit notices and letters within appropriate jurisdictional timeframes
  • Prepare legal documents, such as subpoena packets and attorney packets
  • Prepare medical packets for treating providers and/or vendors
  • File and serve documents to multiple parties.
  • Perform other activities and projects as assigned.

Communication:

  • Call medical providers to obtain information related to work status, treatment plans, appointment information and billing.
  • Schedule medical appointments and send appointment letters.
  • Request wage statements, job descriptions, and medical release of information from appropriate parties.
  • Process vendor referrals, including transportation, translation, investigation, and other services.
  • Respond to telephonic and email inquiries.
  • Make other outbound calls as required.
The Right Stuff
  • A high school diploma or GED is required.
  • Minimum of 1 year (2+ years preferred) of experience in a Workers' Compensation and/or Commercial Auto claims environment, with knowledge of the full claims lifecycle.
  • Prioritizes work and maintains a high level of organization to ensure timely and accurate completion of tasks.
  • Responds to customer requests professionally, promptly, and with a sense of accountability.
  • Gathers and analyzes information. Develops alternative solutions. Identifies and solves problems in a timely manner.
  • Supports the team's efforts to achieve goals and objectives.

The use of AI in Application Review: To support a fair, efficient, and consistent hiring process, we use AI-powered tools to assist in the initial screening of applications. These tools help us identify qualifications and prior work experiences that align with the requirements of the role. All AI-reviewed applications are still subject to human oversight and decision-making at multiple stages of the process. By submitting your application, you acknowledge and consent to Pie utilizing these AI technologies to assist in our evaluation process.

Compensation & Benefits
  • Competitive cash compensation
  • A piece of the pie (in the form of equity)
  • Comprehensive health plans
  • Generous PTO
  • Future focused 401k match
  • Generous parental and caregiver leave
  • Our core values are more than just a poster on the wall; they're tangibly reflected in our work

Our goal is to make all aspects of working with us as easy as pie. That includes our offer process. When we've identified a talented individual who we'd like to be a Pie-oneer , we work hard to present an equitable and fair offer. We look at the candidate's knowledge, skills, and experience, along with their compensation expectations and align that with our company equity processes to determine our offer ranges.

Each year Pie reviews company performance and may grant discretionary bonuses to eligible team members.

Location Information

Unless otherwise specified, this role is remote. Remote team members must live and work in the United States (territories excluded) and have access to reliable, high-speed internet.

Additional Information

Pie Insurance is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristic.

Pie Insurance participates in the E-Verify program. Please click here, here and here for more information.

Pie Insurance is committed to protecting your personal data. Please review our Privacy Policy.

Safety First: Pie Insurance is committed to your security during the recruitment process. We will never ask you for credit card information or ask you to purchase any equipment during our interview or onboarding process.

Pie Named to 2025 America's Best Startup Employers

Pie's Ford Pro Insure Coverage expanded to Pennsylvania and Texas

Pie Insurance 2025 State of Workplace Safety Report

LI-REMOTE
BI-REMOTE
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