claims assistant

Prescient National®

<div>
 <p>
  <strong>
   WHO WE ARE:
  </strong>
 </p>
 <p>
  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.
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   ABOUT THE ROLE:
  </strong>
 </p>
 <p>
  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&rsquo;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.
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   HOW YOU WILL MAKE AN IMPACT:
  </strong>
 </p>
 <ul>
  <li>
   <strong>
    <em>
     HYBRID ROLE
    </em>
   </strong>
   - Provide front desk coverage during receptionist absences. (Our office is located in Uptown Charlotte)
  </li>
  <li>
   Monitor and respond to all communications (email, fax, phone, voicemail) and answer incoming claims-related phone calls.
  </li>
  <li>
   Accurately key a high volume of claims into the system on the same day they are received, regardless of submission channel.
  </li>
  <li>
   Attach incoming documents&mdash;including legal, employer, case management, and counsel correspondence&mdash;to the correct claim files; split documents as needed.
  </li>
  <li>
   Process and deliver letters, forms, and other correspondence to the appropriate parties.
  </li>
  <li>
   Complete information requests for subrogation and file compilation for defense and plaintiff counsel.
  </li>
  <li>
   Create and assign claim diaries; review reports for intake accuracy and make timely corrections.
  </li>
  <li>
   Perform initial investigations on assigned soft tissue and lost time claims within 48 hours, documenting key risk factors in the CL411 diary.
  </li>
  <li>
   Request and obtain POMQs, PADT results, and initial medical records on soft tissue and lost time claims as assigned.
  </li>
  <li>
   Provide treatment facilities with billing information for relevant claims.
  </li>
  <li>
   Support departmental needs by participating in team meetings and completing special projects as assigned.
  </li>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   WHO YOU ARE:
  </strong>
 </p>
 <ul>
  <li>
   Able to work from our office when necessary
  </li>
  <li>
   High School Diploma or GED equivalent required
  </li>
  <li>
   2+ years office experience preferred
  </li>
  <li>
   1+ years of Insurance experience preferred
  </li>
  <li>
   1+ years of Workers compensation insurance experience preferred
  </li>
  <li>
   Strong customer service skills
  </li>
  <li>
   High attention to detail
  </li>
  <li>
   Strong written and verbal communication skills
  </li>
  <li>
   Resourceful and solutions focused
  </li>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   BENEFITS:
  </strong>
 </p>
 <ul>
  <li>
   <strong>
    Remote Workplace:
   </strong>
   Enjoy the ability to work a
   <strong>
    <em>
     hybrid
    </em>
   </strong>
   schedule from home and from our office located in Uptown Charlotte
  </li>
  <li>
   <strong>
    Competitive Salary &amp; Growth:
   </strong>
   Join a team that thrives on leadership, initiative, creativity, and passion, with a salary that matches your drive.
  </li>
  <li>
   <strong>
    Time off &amp; Holidays:
   </strong>
   3+ weeks of vacation and 13 paid holidays to recharge and relax
  </li>
  <li>
   <strong>
    Health &amp; Wellness:
   </strong>
   We reimburse up to $25 a month for gym memberships
  </li>
  <li>
   <strong>
    401(k) Savings:
   </strong>
   We match up to 3% of your contribution
  </li>
  <li>
   <strong>
    Excellent Health Benefits:
   </strong>
   Vision + Dental are 100% covered by Prescient and we contribute 80% of medical coverage premiums. Plus $500 Employer HSA contribution!
  </li>
  <li>
   <strong>
    FSA Healthcare and Dependent Care:
   </strong>
   Flexible Spending Accounts to support your healthcare needs.
  </li>
  <li>
   Employee referral bonuses, Tuition assistance &amp; MORE!
  </li>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  <em>
   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.
  </em>
 </p>
 <p>
 </p>
</div>


Claims Assistant

Savvy Ecom

<p><b>About the Role</b></p><p>Savvy Ecom Solutions is currently seeking a <b>reliable, organized, and detail-oriented team member</b> to join us <i>in-person</i> and handle <b>returns, refunds, courier claims, and customer communication</b> for our <b>Amazon UK and Temu online stores</b>.</p><p>This role is ideal for someone who understands marketplace operations, enjoys solving problems, and takes pride in ensuring smooth, accurate workflows and happy customers.</p><p><b>Key Responsibilities</b></p><ul><li>Process and track all <b>refunds, returns, and replacements</b> on Amazon and Temu.</li><li>Manage and submit <b>Evri courier claims</b> for lost or damaged parcels, ensuring proper follow-up.</li><li>Communicate with customers via <b>email and platform messages</b>, resolving issues promptly and professionally.</li><li>Maintain accurate <b>records and logs</b> of refunds, claims, and parcel issues.</li><li>Prepare <b>weekly summary reports</b> on refunds and claims for management.</li><li>Collaborate with the e-commerce team to <b>improve efficiency and maintain service quality</b>.</li><li>Support additional <b>admin or operations tasks</b> related to marketplace management as needed.</li></ul><p><b>Requirements</b></p><ul><li><b>Minimum 6 months&rsquo; experience</b> managing or supporting <b>Amazon Private Label (PL)</b> operations.</li><li>Strong knowledge of <b>Amazon Seller Central</b> and/or <b>Temu Seller Portal</b>.</li><li>Familiar with <b>Evri claim procedures</b> (or willing to learn quickly).</li><li><b>Proficient in Microsoft Excel</b> &ndash; comfortable creating reports, tracking data, and organizing information.</li><li>Excellent <b>English communication skills</b> &ndash; both written and verbal.</li><li>Strong <b>attention to detail</b>, organisation, and problem-solving skills.</li><li>Must be able to work <b>in-person during standard business hours</b> with our team.</li></ul><p><b>Nice to Have</b></p><ul><li>Experience in <b>e-commerce customer service, logistics, or claims management</b>.</li><li>Understanding of <b>UK consumer return/refund regulations</b>.</li><li>A proactive approach to work, with a focus on <b>accuracy and accountability</b>.</li></ul><p><b>Hours &amp; Pay</b></p><ul><li><b>Full-time, in-person</b> position.</li><li><b>Monday&ndash;Friday</b>, standard business hours.</li><li><b>Competitive salary</b> based on experience.</li></ul><p>Job Type: Full-time</p><p>Pay: Rs30,000.00 - Rs50,000.00 per month</p><p>Work Location: In person</p>

Amazon Returns, Refunds & Claims Assistant

Gramercy Risk Management

<div>
 <p>
  <strong>
   Claims Administrative Assistant (Uniondale, NY)
  </strong>
 </p>
 <p>
  <strong>
   <em>
    HYBRID
   </em>
  </strong>
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   PURPOSE
  </strong>
  :
 </p>
 <p>
  Gramercy Risk Management is seeking a Claims Administrative Assistant to join our expanding company. The position will be responsible for supporting services for the claims and litigation teams.
 </p>
 <p>
  <br/>
 </p>
 <p>
  We are in search of a candidate to be full-time with prior insurance industry experience. Currently, we look to fill the position in our main office, with some remote capability (3 days in office, 2 WFH).
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   <u>
    Responsibilities include but are not limited to:
   </u>
  </strong>
 </p>
 <ul>
  <li>
   Assure the prompt reporting &amp; inputting of electronic data
  </li>
  <li>
   Answering phone calls and emails to provide status updates, explain procedures, and/or answer questions.
  </li>
  <li>
   Creating, updating, and documenting claim files, as well as entering new loss information into Claims System.
  </li>
  <li>
   Assisting adjusters with administrative tasks, scheduling, and office mail management.
  </li>
  <li>
   Reviewing claim forms for accuracy, completeness, and requesting additional information when needed.
  </li>
  <li>
   Assisting Claims Examiners with verifying policy coverage, and processing payments for claims.
  </li>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   <u>
    REQUIREMENTS and QUALIFICATIONS
   </u>
  </strong>
 </p>
 <ul>
  <li>
   Bachelor&rsquo;s degree or life experience
  </li>
  <li>
   At least 3-5 years of experience in Claims Administrative work
  </li>
  <li>
   Good telephone demeanor
  </li>
  <li>
   Proficient use of a PC and Microsoft Office
  </li>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   GRAMERCY RISK MANAGEMENT
  </strong>
 </p>
 <p>
  Gramercy Risk is a rapidly growing New York-based property &amp; casualty insurance company focused on developing and managing programs for specialty classes of business. We take pride in our comprehensive and integrated approach to analyzing and managing risk. Gramercy has extensive in-house experience in the areas of underwriting, claims and litigation management, loss control and risk management, regulatory and compliance, coverage analyses, and business management.
 </p>
 <p>
  <br/>
 </p>
 <p>
  The compensation package includes salary commensurate with levels of skills and experience, a comprehensive benefit package including but not limited to:
 </p>
 <ul>
  <li>
   Medical
  </li>
  <li>
   Dental/Vision- Employer paid premium
  </li>
  <li>
   STD, LTD, Life Insurance
  </li>
  <li>
   401k with employer match
  </li>
  <li>
   Generous PTO and 12 paid holidays
  </li>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   Salary: $70,000-$80,000
  </strong>
 </p>
</div>


Claims Administrative Assistant

First Student

<div><p><b>About The Position Key Responsibilities:</b></p><ul><li>
Support Claims Adjusters in the intake, documentation, and processing of transportation-related incidents (e.g., bus accidents, student injuries, property damage).</li><li>
Collect, organize, and manage relevant documentation, including driver and police reports, student rosters, medical records, driver logs, and photographs.</li><li>
Receive and route calls, emails, and correspondence; professionally respond to internal and external inquiries (e.g., law firms, insurance companies, parents, medical offices).</li><li>
Track and document compliance with transportation safety and reporting regulations.</li><li>
Maintain accurate and up-to-date electronic claim files in the claims management system.</li><li>
Prepare and send claim-related communications such as letters, reports, and summaries.</li><li>
Handle confidential information with discretion and professionalism.</li><li>
Provide general administrative support and assist with special projects as assigned.</li></ul><p>
</p><p></p><p><b>Qualifications:</b></p><ul><li>
Previously Auto Claims experience is required
</li><li>High school diploma or equivalent (Associate degree or higher preferred).</li><li>
3+ years of administrative experience, preferably in insurance, logistics, or claims support.</li><li>
Familiarity with legal and transportation terminology/documents is a plus.</li><li>
Strong organizational skills with high attention to detail and accuracy.</li><li>
Proficient in Microsoft Office (Outlook, Word, Excel)</li><li>
Experience with claims management software (a plus, but not required).</li><li>
Excellent verbal and written communication skills.</li>
Ability to multitask, prioritize, and work efficiently in a fast-paced environment.<br>
<li>
</li></ul><p><br>
First for a Reason<br>
<br>
Benefits<br>
We offer competitive compensation and benefits (which vary based on role, location, and business), including physical and mental health initiatives, medical/dental/vision, 401(k), and paid holiday/vacation.<br>
Professional Advancement<br>
Start here. Go far. We believe in promoting from within which means tremendous opportunities for you, thanks to our strong presence across North America. In addition, our 3 to 5 month Manager-In-Development program prepares future leaders at First Student.<br>
Extensive Training<br>
Build skills and knowledge in such areas as safety and security, injury prevention, technology and equipment, and job efficiency.<br>
Diversity &amp; Inclusion<br>
Because we're stronger together, we aspire to have a culture where all people are First. We're committed to providing an inclusive and diverse working environment for everyone every day.<br>
Community Service &amp; Impact<br>
Go where opportunity meets community. Our customers are at the heart of everything we do. As the face of First in your community, you'll have a positive impact on others.<br>
<br>
Apply today and get your career on the road with First Student!</p><p><b><br>
First for a reason:</b></p><p>
At First Student, we are a family of 60,000+ employees who take pride in safely transporting more than 5 million students and passengers to and from their destinations each day! Our family of brands include Transco, Total Transportation, Maggies Paratransit, and GVC II. Our employees are at the forefront of safety and innovation; they create and implement the most advanced training and technology the transportation industry has to offer.</p><br>
<p></p><br>
<p>In the state of Washington, all technician and driving positions, including but not limited to van drivers and any other position requiring employees to drive a company-owned vehicle, are considered safety-sensitive and are therefore subject to drug and alcohol testing, including cannabis.</p>
<p>All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status. First is also committed to providing a drug-free workplace. First will consider for employment qualified applicants with criminal histories consistent with the requirements of the San Francisco Fair Chance Ordinance, Los Angeles Fair Chance Ordinance, and any other fair chance law. Philadelphia's Fair Criminal Record Screening Standards Ordinance Poster is at this link or upon request https://www.phila.gov/media/20210423160847/Fair-Chance-Hiring-law-poster.pdf.</p></div>

UniTek Global Services

<p>UniTek Global Services is seeking an Assistant Claim Administrator to support our Auto and Property Claims operations by assisting with claim intake, coverage verification, documentation, customer communications, and coordination with adjusters and vendors. This role ensures claims are handled efficiently, accurately, and in compliance with regulatory and company standards.<br/></p><p><b>Key Responsibilities:</b><br/></p><ul><li>Set up new auto and property claims; validate First Notice of Loss (FNOL) information and policy coverages.</li><li>Maintain organized, current claim files and update claims systems (Zoho, Corp Svcs portal</li><li>Obtain statements from insureds, claimants, witnesses, and vendors; request and track estimates, photos, and reports.</li><li>Coordinate inspections for appraisals; assist adjusters with documentation.</li><li>Prepare damage summaries.</li><li>Ensure all communications and documentation meet company standards.</li><li>Serve as a point of contact for insureds/claimants regarding claim status and next steps.</li><li>Draft correspondence (letters, emails)</li><li>Submit pay requests on approved invoices, assess back charges/credits as appropriate.</li><li>File claims as needed with appropriate provider for property damages when subcontractor funds are no longer available.</li><li>Maintain dashboards and activity logs; schedule meetings as needed.</li><li>Collaborate with internal teams (Legal, Project Coordinators/Managers) and external partners (body shops, subcontractors).</li></ul><p><b>Qualifications:</b><br/></p><ul><li>Associate's or Bachelor's degree preferred or equivalent work experience.</li><li>Texas adjuster license not required for assistant roles; ability/willingness to obtain is a plus.</li><li>Auto and Property claims experience a plus (assistant/coordinator level).</li><li>Proficiency with Microsoft Office.</li><li>Strong organization, attention to detail, and written/verbal communication.</li><li>Experience supporting fault assessment, negligence, and subrogation workflows, a plus.</li><li>Prior exposure to settlement negotiations support and property damage documentation a plus.</li><li>Demonstrates foundational claims knowledge.</li><li>Understanding of insurance principles.</li><li>Focus on operational efficiency and service.</li></ul><p>Pay Range:<br/></p><p>$24.00 to $31.50 per hour, based upon geography, skills, and experience.<br/></p><p>This position is non-exempt and eligible for overtime pay in accordance with federal and state laws.<br/></p><p>Bonus: Eligible for performance incentive opportunities of up to 2% of salary, based on company and individual goals and performance.<br/></p><p><i>UniTek Global Services is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by law. </i><br/></p><p>Work Location: Remote<br/></p>

REMOTE: Assistant Claim Administrator

SVMIC

<p><b>Description</b></p><p>We are seeking a highly collaborative professional who excels in a customer-focused environment and enjoys making an impact. As a full-time Medical/Legal Assistant in our Claims department, you will be working Monday through Friday, 8 am-5 pm. After completing the training period, you'll have the flexibility to work a hybrid schedule.</p><p><b>General Function</b></p><p>Exceptionally perform administrative duties as a member of the Claims Department, in a team environment with independent and collaborative work and ability required.</p><p><b>Major Duties and Responsibilities</b></p><p><i>To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.</i></p><ul><li>Perform administrative functions at the direction and request of Claims Attorneys and Managers, including set up, suit processing, claims review preparation, filing, copying, correspondence, transcribing, and closing of files.</li><li>Perform other administrative duties directly related to the position as may be required, including answering telephone calls and electronic communications, intake of new claims over the phone, and inquiries and suits called in by policyholders.</li><li>Utilize a basic understanding of legal, medical, and professional terminology. Position is responsible for learning and maintaining this terminology, with the ability to quickly grasp and understand it.</li><li>Responsible for being self-driven, curious, and dedicated to learning the complex environment of Medical Malpractice and the Claims department and to collaborate with others in the department and with other departments, as necessary.</li><li>Responsible for holding performance to high standards, especially regarding attention to detail and professional communication.</li><li>Become proficient in SVMIC systems and programs.</li><li>Perform complex file processing and management tasks.</li><li>Assist with quality review and oversight of system data and suit preparation material (high level of attention to detail and full process comprehension required).</li><li>Claims Management Committee (CMC) material and preparation review. May transcribe opinions of CMC reviewers and other claims-related documents.</li><li>May be involved in cross-functional teams with ability to collaborate and participate required.</li><li>May assist with the processing of loss adjustment expenses and indemnity payments related to claim files and vendors necessary for departmental operations.</li><li>May assist with various tasks necessary for compliance of state, federal, and other regulatory requirements.</li><li>Meet or exceed supervisor&rsquo;s expectations for productivity, quality, continuous improvement, and goal accomplishment.</li><li>Contribute to SVMIC&rsquo;s success by identifying opportunities and making recommendations that may lead to improved processes.</li><li>Possibility of special projects and other duties assigned.</li></ul><p><b>Skills and Abilities Required</b></p><ul><li>Very good written and verbal communication skills.</li><li>Good keyboarding skills and proficient with Microsoft products including Word, Excel, and Outlook and able to gain proficiency quickly with industry specific software programs.</li><li>Able to focus with excellent critical thinking skills.</li><li>Ability to efficiently manage multiple projects and prioritize appropriately.</li><li>Estimated ability to accurately type at the skill level of around 60 wpm.</li><li>Excellent research and analytical skills.</li><li>Effective interpersonal skills and the ability to work independently and recognize when and how to effectively collaborate with others.</li><li>Regular and predictable on-site attendance required.</li><li>Ability to work remotely as business needs dictate.</li><li>Contribute to a positive, professional, creative and innovative achievement-oriented work environment that emphasizes SVMIC&rsquo;s mission, vision, and values.</li><li>As part of our inclusive environment, communicate ideas and needs and make space for disagreement over ideas and expeditious resolution.</li><li>Appropriately prioritize multiple/complex tasks and responsibilities; effectively allocate time, optimize work practices, and handle interruptions effectively.</li><li>Able to appropriately cope with the occasional stress that comes with interpersonal interactions in a standard office environment.</li><li>Manage relationships with others in a professional, courteous manner.</li><li>Receive and utilize constructive criticism to grow and develop professionally.</li><li>Exercise integrity, discretion, and confidentiality when exposed to or interact with sensitive and proprietary information.</li><li>Stay current with constantly evolving business and technology by seeking out and participating in opportunities to grow technical and professional skills.</li></ul><p>Requirements</p><p><b>Education</b></p><p>High School diploma or equivalent required with sufficient related professional experience (4-5+ years).</p><p><b>Relevant Experience Required</b></p><p>Minimum 4-5 years general office experience, including heavy phone volume handling, or equivalent combination of education and experience.</p><p>SVMIC's mission is to protect, support, and advocate for physicians and other healthcare providers. As a mutual company, our vision is to be the premier provider of medical professional liability insurance, education, and support in the markets we serve. SVMIC is owned by its policyholders, and all its activities and strategic priorities focus on achieving its mission and vision. For more information, visit www.svmic.com.</p><p>SVMIC is an equal opportunity employer, and we value diversity of all kinds.</p><p>Job Type: Full-time</p><p>Pay: $21.00 - $26.50 per hour</p><p>Experience:</p><ul><li>general office: 4 years (Required)</li></ul><p>Ability to Commute:</p><ul><li>Brentwood, TN 37027 (Required)</li></ul><p>Work Location: Hybrid remote in Brentwood, TN 37027</p>

Medical Legal Assistant

Athens Administrators

<div><div>ATHENS POSITION DETAILS</div>
<div></div><div><div><div><div><div><b>Position Title:</b></div>
</div><div><div>Assistant Claims Examiner - Flex</div><br>
</div></div><br>
<div><div><div><b>Department:</b></div>
</div><div><div>Workers&rsquo; Compensation</div><br>
</div></div><br>
<div><div><div><b>Reports To:</b></div>
</div><div><div>Claims Supervisor</div><br>
</div></div><br>
<div><div><div><b>FLSA Status:</b></div>
</div><div><div>Non-Exempt</div><br>
</div></div><br>
<div><div><div><b>Job Grade:</b></div>
</div><div><div>6</div><br>
</div></div><br>
<div><div><div><b>Career Ladder:
</b></div></div><div><div>Next step in progression could include Future Medical Examiner or Claims Examiner Trainee</div>
</div></div><br>
</div></div><div></div><div><b>ATHENS ADMINISTRATORS</b></div>
<div>Explore the Athens Administrators difference: We have been dynamic, innovative leaders in claims administration since our founding in 1976. We foster an environment where employees not only thrive but consistently recognize Athens as a &ldquo;Best Place to Work.&rdquo; Immerse yourself in our engaging, supportive, and inclusive culture, offering opportunities for continuous professional growth. Join our nationwide family-owned company in Workers' Compensation, Property &amp; Casualty, Program Business, and Managed Care. Embrace a change and come make an impact with the Athens Administrators family today!</div>
<div></div><div><b>POSITION SUMMARY</b></div>
<div>Athens Administrators has an immediate need for an experienced Assistant Claims Examiner - Flex to support our Workers&rsquo; Compensation department and can be located anywhere in the state of California, however, employees who live less than 26 miles from the Concord, CA or Orange, CA offices are required to work once a week in the office on a day determined by their supervisor between Tuesday &ndash; Thursday. The remaining days can be worked remotely if technical requirements are met, and the employee resides in California. Athens offices are open for business Monday-Friday from 7:30 a.m. to 5:30 p.m. local time. The schedule for this position is Monday-Friday at 37.5 hours a week with the option of a flex schedule.</div>
<div></div><div>The Assistant Claims Examiner - Flex will provide clerical and technical assistance to Senior Claims Examiners and administer Medical Only claims, ensuring timely processing of claims and payment of benefits, managing, and directing medical treatment, and setting reserves for a variety of teams and clients at Athens.</div>
<div></div><div><b>PRIMARY RESPONSIBILITIES</b></div>
<div>Our new hire should have the skills, ability, and judgment to perform the following essential job duties and responsibilities with or without reasonable accommodation. Additional duties may be assigned:</div>
<div></div><ul><li>Process new claims in compliance with client&rsquo;s Service Agreement</li>
<li>Issue all indemnity payments and awards on time</li>
<li>Process all approved provider bills timely</li>
<li>Prepare objection letters to providers for medical bills; delayed, denied, lacking reports.</li>
<li>Answer questions over the phone from medical providers regarding bills</li>
<li>Contact treating physician for disability status</li>
<li>Contact employer for return-to-work status or availability of modified work.</li>
<li>Contact injured worker at initial set up</li>
<li>Send DWC notices timely</li>
<li>Issue SJDB Notices timely</li>
<li>Request Job Description from Employer</li>
<li>Handle Medical Only claim files</li>
<li>Calculate wage statements and adjust disability rates as required</li>
<li>Keep diary for all delay dates and indemnity payments</li>
<li>Documents file activity on computer</li>
<li>Update information on computer, i.e., address changes, etc.</li>
<li>Schedule appointments for AME, QME evaluations</li>
<li>Send appointment letters, issue TD/mileage, send medical file</li>
<li>Schedule interpreter for appointments, depositions, etc.</li>
<li>Request Employer&rsquo;s Report, DWC-1, Doctor&rsquo;s First Report if needed</li>
<li>Verify mileage and dates of treatment for reimbursement to claimant</li>
<li>Subpoena records</li>
<li>File and serve documents on attorneys, WCAB, doctors</li>
<li>Serve PTP&rsquo;s with medical file and Duties of Treating Physician (9785)</li>
<li>Request PD ratings from DEU</li>
<li>Draft Stipulated Awards and C&amp;R&rsquo;s</li>
<li>Submit C&amp;R, Stipulated Awards to WCAB for approval with documentation</li>
<li>Process checks &ndash; stop payment, cancellations, void, journal payments</li>
<li>Handle telephone calls for examiner as needed</li>
<li>Complete penalty calculations and prepare penalty worksheets</li>
<li>Complete MPN, HCO and/or EDI coding</li>
<li>Complete referrals to investigators</li>
<li>Complete preparation of documents for overnight delivery</li>
<li>Work collaboratively with Senior Claims Examiners, Nurse Case Managers, and other Assistant Claims Examiners</li>
<li>Contact with clients, injured workers, attorneys, doctors, vendors, and other parties</li>
<li>Provide updates of claims status to Senior Claims Examiners and Athens management</li>
<li>Prepare professional, well written correspondence and other communications</li>
</ul>
<div></div><div><b>ESSENTIAL POSITION REQUIREMENTS
</b></div><div>The requirements listed below are representative of the knowledge, skill, and/or ability required. While it does not encompass all job requirements, it is meant to give you a solid understanding of expectations.</div>
<div></div><ul><li>High School Diploma or equivalent (GED) required for all positions
<ul><li>AA/AS or BA/BS preferred but not required</li>
</ul></li><li>2+ years&rsquo; Claims Assistant experience supporting a workers compensation examiner or team preferred</li>
<li>Medical Only Adjuster designation required</li>
<li>Continuing hours must be current</li>
<li>Mathematical calculating skills</li>
<li>Completion of IEA or equivalent courses</li>
<li>Administrators Certificate from Self-Insurance Plans preferred</li>
<li>Knowledge of workers compensation laws, policies, and procedures</li>
<li>Understanding of medical and legal terminology</li>
<li>Must demonstrate accuracy and thoroughness in work product</li>
<li>Ability to sit for prolonged periods of time</li>
<li>Well-developed verbal and written communication skills with strong attention to detail</li>
<li>Excellent organizational skills and ability to multi-task</li>
<li>Ability to type quickly, accurately and for prolonged periods</li>
<li>Proficient in Microsoft Office Suite</li>
<li>Ability to learn additional computer programs</li>
<li>Reasoning ability, including problem-solving and analytical skills, i.e., proven ability to research and analyze facts, identify issues, and make appropriate recommendations and solutions for resolution</li>
<li>Ability to be trustworthy, dependable, and team-oriented for fellow employees and the organization</li>
<li>Seeks to include innovative strategies and methods to provide a high level of commitment to service and results</li>
<li>Ability to demonstrate care and concern for fellow team members and clients in a professional and friendly manner</li>
<li>Acts with integrity in difficult or challenging situations and is a trustworthy, dependable contributor</li>
<li>Athens&rsquo; operations involve handling confidential, proprietary, and highly sensitive information, such as health records, client financials, and other personal data. Therefore, maintaining honesty and integrity is essential for all roles within the company.</li>
<li>Must be able to reliably commute to meetings and events as required by this position</li>
</ul>
<div></div><div><b>APPLY WITH US</b></div>
<div>We look forward to learning about YOU! If you believe in our core values of honesty and integrity, a commitment to service and results, and a caring family culture, we invite you to apply with us. Please submit your resume and application directly through our website at http://www.athensadmin.com/careers/job-openings Feel free to include a cover letter if you&rsquo;d like to share any other details. All applications received are reviewed by our in-house Corporate Recruitment team. The Company will consider qualified applicants with arrest or conviction records in accordance with the Los Angeles Fair Chance Ordinance for Employers and the California Fair Chance Act. Applicants can learn more about the Los Angeles County Fair Chance Act, including their rights, by clicking on the following link: https://dcba.lacounty.gov/wp-content/uploads/2024/08/FCOE-Official-Notice-Eng-Final-8.30.2024.pdf</div>
<div></div><div>This description portrays in general terms the type and levels of work performed and is not intended to be all-inclusive or represent specific duties of any one incumbent. The knowledge, skills, and abilities may be acquired through a combination of formal schooling, self-education, prior experience, or on-the-job training.</div>
<div></div><div>Athens Administrators is an Equal Opportunity/ Affirmative Action employer. We provide equal employment opportunities to all qualified employees and applicants for employment without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, veteran status, disability, or any other legally protected status. We prohibit discrimination in decisions concerning recruitment, hiring, compensation, benefits, training, termination, promotions, or any other condition of employment or career development.</div>
<div></div><div><b>THANK YOU!</b></div>
<div>We look forward to reviewing your information. We understand that applying for jobs may not be the most enjoyable task, so we genuinely appreciate the time you've dedicated. Don&rsquo;t forget to check out our website at www.athensadmin.com as well as our LinkedIn, Glassdoor, and Facebook pages!</div>
<div></div><div>Athens Administrators is dedicated to fair and equitable compensation for our employees that is both competitive and reflective of the market. The estimated rate of pay can vary depending on skills, knowledge, abilities, location, labor market trends, experience, education including applicable licenses &amp; certifications, etc. Our ranges may be modified at any time. In addition, eligible employees may be considered annually for discretionary salary adjustments and/or incentive payments. We offer a variety of benefit plans including Medical, Vision, Dental, Life and AD&amp;D, Long Term Care, Critical Care, Accidental, Hospital Indemnity, HSA &amp; FSA options, 401k (and Roth), Company-Paid STD &amp; LTD and more! Further information about our comprehensive benefits package may be found on our website at <b>https://www.athensadmin.com/careers/why-work-here</b></div></div>

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