Careers

Claims Assistant

POSITION SUMMARY

The Claims Assistant is responsible to primarily assist the Workers’ Compensation and Property & Casualty Departments. Under supervision, the individual will learn and perform a variety of technical duties of average difficulty. This demanding and fast paced position will require an individual that has strong interpersonal and organizational skills, the ability to communicate effectively with a variety of personalities, multitask, problem solve, possess a willingness to adjust from a daily routine when necessary and have ambition to advance.

 

PRIMARY RESPONSIBILITY

  • Handles a large volume of telephone calls and interacts with various people, including but not limited to, the medical community, claimants, division representatives, attorneys and collection agencies.
  • Requests that adjusters re-open claims and/or add reserves in order to process payments.
  • Performs other duties as assigned.
  • Performs requested tasks including direct contact with claimants, employers, legal representatives and medical providers for a variety of information concerning the claims.
  • Pays legal, expense, and miscellaneous medical bills.
  • Requests and monitors receipt of W-9 forms from providers.
  • Schedules and coordinates medical appointments.
  • Completes assigned tasks effectively and timely daily.
  • Provides back up support to other teams, as needed, including opening mail, front door greeting and scanning bills.

 

SKILLS

  • Advanced level of computer and software proficiency, including Microsoft Office products.
  • Highly detailed and accurate, with excellent organizational skills.
  • Advanced skills in keyboarding.
  • Proactive problem-solving skills.
  • Ability to work independently and exercise analytical judgment in accordance with established guidelines.

 

COMPETENCIES

  • Ability to function effectively under tight time constraints, consistently meet strict deadlines, prioritize, and handle multiple tasks in a demanding work environment.
  • Willingness to adhere to all principles of confidentiality.
  • Ability to communicate appropriately and build professional relationships with employees at all levels of the organization.
    • Excellent written and verbal communications skills are required to maintain effective relationships with clients, co-workers, vendors and others.
  • Proficient skills in Microsoft Office Suite (primarily Excel, PowerPoint and Word).

 

  • Excellent phone etiquette.
  • Excellent customer service skills.
  • Ability to prioritize and handle multiple tasks in a demanding work environment.
  • Willingness to adhere to all principles of confidentiality.
  • Ability to work independently and on a team.
  • Ability to show initiative, good judgment, and resourcefulness.
  • Reliable and efficient.
  • Organized and detail oriented.
  • Proactive and takes initiative.
  • Energetic and self-driven.
  • Ability to receive direction and follow instructions.
  • Ability to represent the company well to external organizations, clients and vendors.

 

EDUCATION AND QUALIFICATIONS

  • High School Diploma
  • 1+ years’ of office experience
  • Knowledge of administrative procedures
  • Strong customer service background

 

Certifications/Licenses

Workers’ Compensation Adjuster License or All‐lines Adjuster License or ability to obtain within 90 days of hire.

Details

DEPARTMENT

WC/PC

LOCATION

Stuart, FL

Application

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