Claim Technical Assistant
Core
Assist examiners in making compensability decisions for workers' compensation claims by managing file documentation, processing claims, and ensuring compliance with state regulations.
Role type
Claims processing specialist (workers' compensation)
Builds
Accurate claim documentation, benefit notices, and settlement documents for insurance clients.
Domain
Insurance / Workers' Compensation
Required skills
Data indexing and research, Microsoft Office proficiency, state regulation compliance, file management, customer service, claim handling processes
Preferred skills
Medical terminology, bill processing, state EDI systems, CA Workers Compensation terminology
Responsibilities
Assist with compensability decisions, maintain active file diaries, produce quality documentation, respond to internal and external customers, manage pension and medical file inventories, adhere to state regulations for AZ, CA, CO, and UT
Seniority
Individual Contributor, entry to mid-level