Claims Assistant

Company Details

Preferred Employers Insurance, A Berkley Company specializes in providing workers’ compensation insurance to California business owners. The company serves three major Client Segments: Small Business, Mid-Larger Businesses and Programs (Groups & Association Members). The company’s distribution partners (agents & brokers) number 400 locations throughout the state. Preferred serves 11,000 policyholders and provides medical claims handling and claims management for policyholders as needed to care for injured workers. The company is rated A+ Superior by industry-rating organization, AM Best & Company.

Responsibilities

The Claims Assistant-Support Unit, is under moderate supervision, utilizes general understanding of department’s operation and objectives to provide administrative support related to claims payments, bill inquiries, coordination assistance, and customer service to the claims department. This position will answer general claims payment questions from customers and will act as a liaison for technical staff and internal/external customers in responding 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 Claims Assistant-Support Unit must be a team player. This position requires particular attention to detail, and is often task-oriented.

Key functions include but are not limited to:

• Provide customer service – answer telephones by the third ring and re-direct callers as necessary to properly respond to customer inquiries.
• Assist in the administration of claims by making follow up status calls to providers.
• Perform data entry to work diaries and create activity notes.
• Update claimant information upon receipt of approved changes.
• Complete assigned work via diaries and work queues in a timely manner.
• Respond to all requests and inquiries from claims staff, vendors, and others as appropriate.

Qualifications

• 4-year degree required or knowledge of workers’ compensation principles and policies equivalent preferred.
• Strong written and verbal communication skills, attention to detail and deadline structures.
• Ability to work both independently and collaboratively with all levels of staff.
• Proficient with MS Office software and PC applications and systems.

Additional Company Details

We do not accept any unsolicited resumes from external recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role include: • Base Salary Range: $17.30 - $25.00 hourly • Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.

Sponsorship Details

Sponsorship not Offered for this Role