Claims Assistant

WHO WE ARE:

Prescient National is an AM Best A (Excellent) rated Workers' Compensation insurance company offering national coverage. We provide innovative insurance products and effective loss reduction strategies, tailored to meet both current and future challenges. Our solutions include Guaranteed Cost Policies, Deductible Policies, Retrospective Rating Policies, Excess/Self Insurance, and Captive Options, all designed to align with each employer's unique risk profile and appetite. By leveraging deep analytics and fostering strong relationships with stakeholders, we deliver unparalleled service and creative solutions that distinguish us in the industry.

ABOUT THE ROLE:

This Claims Support role is an exciting opportunity to be at the heart of the claims process, ensuring accuracy, timeliness, and seamless coordination from initial intake to ongoing communication. You'll be a vital part of the team, handling a high volume of incoming claims and documentation, supporting internal and external stakeholders, and contributing to early-stage investigations on more complex claims. With responsibilities that span data entry, correspondence management, and process support, this position offers a dynamic environment where attention to detail and multitasking are key. It’s a great fit for someone who thrives in a fast-paced setting and is looking to build a strong foundation in the insurance industry.

HOW YOU WILL MAKE AN IMPACT:

• HYBRID ROLE - Provide front desk coverage during receptionist absences. (Our office is located in Uptown Charlotte)
• Monitor and respond to all communications (email, fax, phone, voicemail) and answer incoming claims-related phone calls.
• Accurately key a high volume of claims into the system on the same day they are received, regardless of submission channel.
• Attach incoming documents—including legal, employer, case management, and counsel correspondence—to the correct claim files; split documents as needed.
• Process and deliver letters, forms, and other correspondence to the appropriate parties.
• Complete information requests for subrogation and file compilation for defense and plaintiff counsel.
• Create and assign claim diaries; review reports for intake accuracy and make timely corrections.
• Perform initial investigations on assigned soft tissue and lost time claims within 48 hours, documenting key risk factors in the CL411 diary.
• Request and obtain POMQs, PADT results, and initial medical records on soft tissue and lost time claims as assigned.
• Provide treatment facilities with billing information for relevant claims.
• Support departmental needs by participating in team meetings and completing special projects as assigned.

WHO YOU ARE:

• Able to work from our office when necessary
• High School Diploma or GED equivalent required
• 2+ years office experience preferred
• 1+ years of Insurance experience preferred
• 1+ years of Workers compensation insurance experience preferred
• Strong customer service skills
• High attention to detail
• Strong written and verbal communication skills
• Resourceful and solutions focused

BENEFITS:

• Remote Workplace: Enjoy the ability to work a hybrid schedule from home and from our office located in Uptown Charlotte
• Competitive Salary & Growth: Join a team that thrives on leadership, initiative, creativity, and passion, with a salary that matches your drive.
• Time off & Holidays: 3+ weeks of vacation and 13 paid holidays to recharge and relax
• Health & Wellness: We reimburse up to $25 a month for gym memberships
• 401(k) Savings: We match up to 3% of your contribution
• Excellent Health Benefits: Vision + Dental are 100% covered by Prescient and we contribute 80% of medical coverage premiums. Plus $500 Employer HSA contribution!
• FSA Healthcare and Dependent Care: Flexible Spending Accounts to support your healthcare needs.
• Employee referral bonuses, Tuition assistance & MORE!

We are an equal-opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.