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Workers Compensation Claims Assistant I

Intercare Holdings Insurance Services · Rocklin, California, US

Description Summary: Reports directly to the unit Claims Supervisor but takes primary direction for the assigned Claims Specialist(s). Responsible for provid...

Job description

Description Summary: Reports directly to the unit Claims Supervisor but takes primary direction for the assigned Claims Specialist(s). Responsible for providing clerical operations support to assigned Claims Specialist(s). Essential Duties and Responsibilities: - Prepares new claims files - Calculates TTD, Wage Loss, VRMA and PD benefits - Issues compensation payments on diary schedule - Issues Benefit Notices - Doctor status calls and Employee/Employer contact calls - Employer contact calls to confirm light duty/modifies work - Works closely with Claims Specialist to complete clerical assignments - Prepares litigation documents such as C&R, Stipulations, Answers, etc - Prepares rehabilitation forms for filing with the rehabilitation unit - Handle calls from providers inquiring about unpaid bills and bill related questions - Review Mail and process direct pays bills such as Mileage Reimbursement - File and Serve duties (as needed) - Notepad documentation in Portal Competency: To perform the job successfully, an individual should demonstrate the following competencies: - Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfull...