Claims Technical Assistant
Core
Provide advanced technical support for the Workers' Compensation claim handling process, ensuring compliance with state regulations and delivering customer service.
Role type
Workers' Compensation Claims Technical Assistant
Builds
Claim files, benefit notices, nurse/legal referrals, settlement documents, and accurate claim activity documentation.
Domain
Insurance / Workers' Compensation
Required skills
State regulatory compliance, claim documentation, file management, multi-tasking, Microsoft Office proficiency, state EDI systems knowledge
Preferred skills
Claim adjuster licenses (GA, FL, NC, SC, WV, DE), medical terminology, bill payment knowledge, IAIABC practices
Responsibilities
Assist examiners with compensability decisions, maintain active file diaries, document claim activity, produce benefit notices and settlement documents, respond to internal/external customers, manage pension/medical file inventories, collaborate with peers for coverage.
Seniority
Entry-level, individual contributor