Workers Compensation Claims Assistant

Responsibilities:

• Under general supervision performs diverse and complex clerical duties requiring thorough knowledge and understanding of all applicable procedures and policies
• Tasks require judgment and initiative
• Responsible for assisting examiners and management of assigned caseload by performing clerical functions according to the timeframes and guidelines
• Performs detailed telephone investigations and maintains disability status checks with physicians and policyholders as directed by examiner
• Arranges medical examinations; may send physician cover letter with assistance or approval of examiner and compose routine narrative memorandums and letters as directed by examiner
• Prepares and types legal documents; Answers Declaration of Readiness to Proceed Compromise and Release and other related forms and memorandums
• Makes disability and medical payments within given authority
• Inputs and monitors automatic disability schedule payments and cancellations
• Timely management of assigned tasks by systems diary
• Proficient use of computer to include claims information coverage DWC notices and payment verification
• Calculate wage statements and make appropriate adjustments in the system
• Understands and complies with medical management protocols and standards
• May assume backup in absence of examiner
• Assists in training of claims assistants and other clerical personnel
• Works productively and harmoniously with others on a consistence basis
• Respond positively to direction and criticism of performance
• Consistently maintain professional and appropriate demeanor
• Perform other duties as assigned