Sr. Claims Assistant CopperPoint has an exciting opportunity for a fully remote Sr. Claims Assistant. This role provides critical clerical and administrative support to claim adjusters and the claim management team throughout the claim management process. As a senior-level assistant, this position works with a high degree of independence, takes on greater responsibility, and contributes to the training and development of less experienced staff.
Job responsibilities:- Provide clerical/administrative support to the workers compensation claim adjusters and the claim management team.
- Issue notices and letters timely and accurately in accordance with statutory guidelines.
- Successfully pass all regulatory, internal and external audits
- Process payments and benefits timely and accurately
- Follow special handling instructions regarding client-specific processes and procedures.
- Accurately maintain related claim processing and procedure records.
- Keep files on current diary system to timely monitor new developments and to follow up on outstanding requests.
- Respond to all other diary activities.
- Partner with team members to move files to positive outcomes and document results.
- Participate in committee and/or meetings and provide/receive input on bringing issues to best possible resolution.
- Adhere to service standards, proper file coding and special claims handling instructions.
- Timely complete medical contacts on appropriate files.
- Complete medical provider contacts timely and accurately on all claims with temporary disability benefits.
- Address internal and external customer service needs timely and professionally
- Actively participate in departmental special project work.
- Partner in the training and development of less experienced claim assistants.
- Oversee claim assistant workloads and ensure timely completion of the claim assistant work.
- Successfully complete the annual corporate Code of Conduct Training. Demonstrate full knowledge, understanding and compliance with the Code.
Qualifications/Competencies:- Bachelor's degree preferred.3+ years' experience in a claim assistant role or equivalent.
- Insurance Education Association (IEA) or Self-Insurance Plan (SIP) certification or equivalent preferred
- Exceptional judgment and prioritization skills.
- Exceptional written and verbal communication skills.
- Exceptional customer service skills.
- Ability to anticipate problems and resolve issues proactively.
- Computer skills and knowledge of relevant software.
- Exceptional organizational and time management skills.
- Spanish Bilingual a plus
- Strong collaboration skills requires the ability to partner with vendors, team members and managers to move files to positive conclusion.
- Intermediate level math and calculator skills.
Benefits:
Employees and their families are eligible to participate in CopperPoint Insurance Companies benefit plans including medical, dental, vision, short-term disability, long-term disability, life insurance, a health savings account, a flexible spending account, and a 401k plan. We provide some benefits at no cost to the employee (Basic Life Insurance and AD&D at two times an employee's annual salary, Short- and Long-term Disability coverage, and Employee Assistant Plan). Employees will accrue 0.0692 hours of Paid Time Off (PTO) per paid hour, which may total 18 days a year. In addition, employees will also receive 10 paid holidays throughout the calendar year.
Salary Range:
$50,000.00 - $69,000.00 annually Compensation may vary depending on skills, experience, education, and geographical location. In addition to base salary, compensation may include an annual discretionary bonus.
