Title: Claims Assistant -Workers Compensation
Duration: 6+ months
Location: Los Angeles, CA, USA, 90071
Work Schedule-Hybrid-manager will discuss at the time of interview
Work hours-Core work hours are 7:30am-5:30pm-start time is flexible
 
 
Summary:

• When necessary, assist with contacts and replies for examiner so that appropriate decisions can be made
• Communicate with internal and external business partners regarding claims, payments and status’
• Maintain active file diaries to ensure delegated tasks are completed.
• Develop an understanding of jurisdictional benefit rates and payment deadlines to ensure compliance with state timeframes.
• Accurate documentation of claim activity within file notes
• Produce quality documentation in an accurate and timely manner i.e. benefit notices, nurse and legal referrals, record requests, settlement documents.
• Respond timely and appropriately to internal and external customers on claim related issues
• Adhere to state regulations for CA (and possibly CO, UT and AZ)
• Collaborate with appropriate resources to timely resolve issues

 
 
Technical Skills & Competencies:
 

• Superior customer service showcasing verbal, written and interpersonal skills
• Aptitude for evaluating, analyzing, and interpreting information.
• Effective time management skills which demonstrate the ability to multi-task and prioritize by accomplishing tasks and assignments
• Strong organizational skills
• Adaptability to constantly evolving environments and demonstrable flexibility which meets or exceeds a state requirement or a customer’s expectation
• Bilingual abilities (spoken and/or written) are not required but are certainly a +
• Ability to work independently and efficiently while performing defined functions with minimal errors
• Proficient computer skills and extensive knowledge of the Microsoft suite of Office products including Outlook, Word, Excel, and PowerPoint; knowledge of state EDI systems and or IAIABC practices a plus.

 
Experience, Education & Requirements:
 

• Prior clerical and technical experience in researching and indexing data are preferred but not required
• Proficiency with Microsoft Office Products
• Experience in a fast paced, fluid environment
• Strong communication and telephonic skills
• Knowledge of medical terminology is a plus but not required
• Knowledge of bill processing is a plus but not required
• Knowledge of claim handling is a plus but not required

 

 


At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $26.00/hr.