Claims Assistant

• Provide support to claims staff
• Set up and enter new claims into the claims management system
• Input and review notes and diaries in the claims management system
• Process payments
• Process mail and handle filing, faxing, and photocopying
• Review, prepare, create, and/or send letters, reports, and forms
• Answer and initiate telephone calls
• Set up medical appointments
• Provide customer service as required
• Complete assigned activities and projects, including preparing and distributing computer reports

Claims Assistant supporting claims administration for Sedgwick, a global risk and claims services provider

Claims Assistant supporting claims administration for Sedgwick, a global risk and claims services provider. Managing claim entries, payments, correspondence, calls, appointments, and office tasks.

• Provides administrative and operational support to the Claims team.
• Ensures timely and accurate processing of claim-related documentation.
• Completes all assigned claim tasks within five (5) business days.
• Assists with processing and tracking documentation related to claim activities.
• Manages incoming and outgoing mail, including certified mail.
• Logs all hearing notices received into the litigation calendar and log.
• Completes tracker forms for non-cashed checks within required timeframes.
• Provides phone coverage shared among Claims Assistants.

Claims Assistant providing administrative support to Claims team at MSIG USA

Claims Assistant providing administrative and operational support to Claims team at MSIG USA. Ensuring timely processing of claims documentation and managing communication workflows.

• Assists claimants, providers, and clients with problems or questions regarding their claims and/or policies
• Ensuring compliance with state laws, company policies, and procedures in all claim-related activities
• Monitor incoming emails and enter information received in database within 24 hours
• Enter 50% notices/Trigger Diagnosis Reports and alert nurse on any potentially large claimant
• Enter LCM (Large Case Management) notices and notify the nurse
• Process claims, checks and SLAM Reports

Claims Assistant managing claims audit processes at One80 Intermediaries

Claims Assistant managing claims audit processes for clients at One80 Intermediaries. Ensuring compliance in claim-related activities and providing assistance to claimants and providers.

• Organizes the digital claim records for uniformity by removing duplicate records and top-lining documents
• Completes 10-day and 6-month claim maintenance checklists to ensure the highest level of claims statistical data processing
• Processes corrections to data error crits as required
• Completes manual Medicare query of claims at the CMS COB&R site as needed and documents the digital claim record
• Processes class code corrections that accurately depict the scope of an injured workers’ job and payroll
• Completes claim documents in both ImageRight and Powersuite
• Completes closure, re-opens, and reassignments of all claim files as submitted by Supervisory personnel
• Assists with record subpoenas and completes lien reviews organized with a worksheet summary
• Completes vendor referrals by service specialty and utilization review submissions to Rising
• Maintains contact with the WCAB for status updates on claims where named as a party to suit in error
• Complies with Maximus responses following IMR for timely fulfillment
• Reviews adjuster ImageRight tasks daily for medical authorization requests
• Provides administrative assistance to claim adjusting team members as needed
• Provides back-up in the entry of manual payments to the Claims Payable Analyst

Claims Assistant managing digital claim records for Acrisure

Claims Assistant managing digital claim records for Acrisure, organizing claim files and ensuring compliance with claims data processing standards.

• Responsible for daily administrative tasks to support the Claims Department.
• Answer phones, route calls and take messages.
• Prepare and mail correspondence.
• Use ImageRight, WINS and various Microsoft Applications (Outlook, Word & Excel).
• Process and review invoices.
• Open, prep, sort, and scan mail into IMAGERIGHT.
• FNOL claim setup and related workflow process.
• Utilize the MCS portal to submit HIPAA authorizations for medical records.
• Process Summons & Complaints.
• Share GNY’s files with third parties via OneDrive.
• Set Up Independent Medical Exams.
• Back up main switchboard as needed.
• Participate in special projects and perform additional duties as required.

Claims Assistant handling daily administrative tasks in the Claims Department

Claims Assistant at GNY performing administrative tasks to support the Claims Department. Handling correspondence, processing invoices, and setting up claims workflows.

Claims Assistant jobs in United States

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Claims Assistant

Claims Assistant

Claims Assistant

Claims Assistant

Claims Assistant