Job Details

POSITION SUMMARY: Under close supervision performs clerical and data entry tasks that assist in the administration of workers' compensation claims.

This position requires considerable interaction on the phone with claimants, Doctors, employers, investigators, attorneys and with management, other Claims Examiners, and other TRISTAR staff.

DUTIES AND RESPONSIBILITIES:

• Prepares benefit notices, schedules and processes benefit and medical payments on claim files as directed by the Claims Examiner. *
• Documents all work product and claim activity in the electronic claim file. *
• Prepares and prints letters, benefit notices and labels. *
• Provides clerical support, including filing, faxing, sorting, and alphabetizing. *
• Communicates pertinent claim information to the client, legal counsel and medical providers and internal claims staff. *
• Answers phone calls, take messages and respond appropriately. *
• Performs receptionist duties on a back-up basis.
• Other duties as assigned.

*Essential job function.

EQUIPMENT OPERATED/USED: Computer, telephone, 10-key, fax machine, printers and other basic office equipment.

QUALIFICATIONS REQUIRED:

Education/Experience: High school diploma or GED, and six (6) months' experience in the workers' compensation claims industry (preferred).

Knowledge, Skills and Abilities:

• Proficient keyboarding skills (type 45 wpm).
• Working knowledge of medical/legal terminology.
• Ability to alphabetize and collate.
• Proficient in Word.
• Ability to follow written and spoken instructions from several individuals.
• Ability to produce accurate and detailed work.
• Excellent verbal and written communication skills.
• Courteous telephone skills.
• Ability to effectively prioritize multiple projects and due dates.
• Ability to work independently, as well as in cooperation with workgroups.

Other Qualifications:

• • CA SIP License