Claims Assistant job description

CorVel Corporation is a national provider of industry-leading worker's compensation solutions for employers, third party administrators, insurance companies, and government agencies. We are a growing company, a great place to work, with plenty of Career advancement opportunities. The Claims Assistant will assist and support the claims staff in the set-up and administration of workers' compensation claims/case management and other tasks depending on the specific needs of the customers. This is an in office position at either our Overland Park, KS or Wisconsin office.
* Process mail, upload documents and input notes/diary entries in the claims system
* Process payments, as needed
* Process form letters, state forms and reports
* Assist claims examiners with telephone calls including provider, claimant and customer calls
* Requires regular and consistent attendance.
* Comply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program ("IIPP").
* Additional duties as required.

KNOWLEDGE & SKILLS:

* Excellent written and verbal communication skills
* PC literate, including Microsoft Office (Word, Excel)
* Ability to work independently
* Ability to work in a team environment
* Strong organizational skills

EDUCATION & EXPERIENCE:

* High school diploma
* Six (6) months of customer focused office experience
* Workers compensation claim knowledge preferred

ABOUT CORVEL:

CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

Organized in 1953, ESIS ® , Inc. (ESIS) provides customized risk management services. ESIS is part of ACE USA, the U.S.-based retail operating division of CHUBB , through its underwriting and service companies, provides insurance products and services throughout the U.S. Additional information about ESIS and its products and services can be found at www.esis.com. CHUBB is a global leader in insurance and reinsurance serving a diverse group of clients around the world.

The Claim Assistant, under close supervision, performs customer service and/or claims processing functions.

MAJOR DUTIES & RESPONSIBILITIES:

Duties may include, but are not limited to:

• Receive new losses and verifies accuracy of information via coverage.
• Register new loss information on system.
• Perform all file updates on system as directed by claim reps/team leader.
• Register loss payments on system.
• Provide customer service to agents, insureds, clients and other customers.
• Prepare all loss registration forms.

SCOPE INFORMATION:

Reports to an Operations Supervisor or to Claims Team Leader.There are no positions reporting into this position.

DESIRED QUALIFICATIONS:

• 1 year previous claims processing experience.
• Strong customer orientation and experience supporting customer needs.
• Strong written and oral communication to effectively provide service to internal and external customers.
• Strong analytical and organizational skills.
• Strong computer systems experience and experience in an automated environment.
• Keyboarding and data entry skills.
• Works well within a team environment; focus on self-development.
• Committed to high standards of behavior and performance.

ESIS offers a competitive salary plus cash bonus, equity opportunities and comprehensive benefits package including life, health and dental, vision, a generous retirement savings plan, disability coverage, stock purchase plan, flexible spending accounts, tuition reimbursement, and business casual dress.

As a specialty workers' compensation insurance company, our success is due in large part to the meaningful relationships we have developed with over 17,000+ policyholders and hundreds of insurance brokers over the years and, by being responsive to the workers' compensation insurance needs of our policyholders.

The Claims Assistant reports to the Claims Operations Manager, is under moderate supervision and utilizes general understanding of department's operation and objectives to provide administrative support and queue management related to claim payments, bill inquiries, coordination assistance and customer service to the claims department. Additionally, this position will train and mentor less experienced staff including modeling company core values, principles and guidelines. This position will answer general claim payment questions from customers and will act as a liaison for technical staff and internal/external customers in response to routine inquiries. Job functions are considered routine and predefined and require minimum evaluation. Claims financial processing activities will be conducted in compliance with the rules, regulations, and statutes of the WCAB and the State of California. The Senior Claims Assistant must be a team player. This position requires particular attention to detail, ability to reprioritize and is often task-oriented.
Key functions include but are not limited to the following:

+ Manage assigned work queues by distributing and assigning total open activities evenly among the Unit's team members.

+ Serve as process owner and backup to departmental work queues, as assigned.

+ Mentor and train less experienced staff as needed.

+ Ensure work is completed promptly and within department's goals and objectives.

+ Provide customer service - answer telephones by the third ring and re-direct callers as necessary to properly respond to customer inquiries.

+ Provide backup coverage during team member absences.

+ Assist in the administration of claims by making follow up status calls to providers.

+ Perform data entry to work diaries and create activity notes.

+ Complete assigned work via diaries and work queues in a timely manner.

+ Promptly escalate queue management issues affecting department timelines.

+ Respond to all requests and inquiries from claims staff, vendors, and others as appropriate.

+ Perform other duties as requested by the Claims Operations Manager or Claims leadership team.

+ 4-year degree required or knowledge of workers' compensation principles and policies equivalent preferred.

+ 5+ years of related administrative office work experience.

+ Strong written and verbal communication skills, attention to detail and deadline structures.

+ Ability to work in a fast-paced environment both independently and collaboratively with all levels of staff.

+ Proficient with MS Office software and PC applications and systems

The Company is an equal employment opportunity employer.

COVID-19 vaccine required unless prohibited by law


Name: Preferred Employers Insurance

External Company Name: Berkley

Street: 9797 Aero Drive

Industry:

Insurance

Seniority Level:

Associate

Job Functions:

AdministrativeCustomer ServiceGeneral Business

Employment Type:

Full-Time