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Claims Assistant, Workers' Compensation

Company: Matrix Absence Management
Location: Roseville
Posted on: May 3, 2021

Job Description:

Matrix Absence Management is one of the top Third Party Administrators (TPA) supporting clients in absence management (FMLA/Disability/Workers' Compensation). We partner with our clients Human Resources department to manage Workers' Compensation, Disability and/or Leave of absences until the claim is resolved or the employee returns to work. Our highly customer centric approach is to try and duplicate the culture of our clients to make the experience seamless for employees. Our mobile app technology provides ease of use to our client and employee in reporting claim information.

Matrix Absence Management offers a full benefit package - Medical, Dental & Vision, including 401K match. Matrix is a friendly and pleasant office environment; offering flexible schedules Monday-Friday.

Position Summary

The Claims Assistant, Workers' Compensation provides basic professional administrative support to the Workers' Compensation Claims Unit. The Claims Assistant, WC will be a part of a team oriented environment providing internal and external customer service and will handle confidential information with the utmost judgment and discretion.

Essential Functions & Qualifications

  • Assist with electronic mail, filing, and general office duties relating to insurance (W/C) claims.
  • Process claims paperwork and first reports. Efficiently expedite correspondences and update diaries.
  • Effectively communicate with claimants, clients, and providers.
  • Assist in bill payment process, and data entry task and documentation production.
  • Utilizes the Claim System for inquiries and letter generation.
  • Resolves routine administrative problems and answers inquiries.
  • Receives and responds to routine correspondence (some of which may be confidential); proofreads, revises and edits other materials for accuracy, thoroughness and appropriateness.
  • Compiles, organizes and analyzes basic information for inclusion in reports and customer packages.
  • Perform other related support duties, as requested.

Education, Qualifications and Experience:

  • High school diploma (or equivalent) and a minimum of 1-2 years of customer service and/or administrative/claim support experience required.
  • College Degree preferred.
  • Prior experience in Workers' Compensation Claims processing or support is a (+).
  • Use of computerized claims systems, Microsoft Office Suite experience required.
  • Must be able to type at least 45 wpm
  • Ability to organize work, manage time and follow through.
  • Ability to exercise sound judgment to shift priorities and organize multiple tasks simultaneously
  • Ability to apply basic administrative skills to perform standardized duties (e.g., to create memos, reports, spreadsheets, etc.)
  • Concise written and oral communication skills
  • Effective organizational, interpersonal, and communication skills required to help resolve routine problems, answer general questions, and know when to escalate more complex issues.

Additional Job Description

EEO Statement

Matrix Absence Management is an equal opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, national origin, citizenship, age or disability, or any other classification or characteristic protected by federal or state law or regulation. We assure you that your opportunity for employment with Matrix depends solely on your qualifications.

Essential Physical/Cognitive Job Functions

  • Prompt and regular attendance at assigned job locations

  • Ability to work shifts exceeding 8 hours, 5 days per week

  • Ability to interact with employees of all levels and clients in an appropriate manner

  • Ability to concentrate and think strategically

  • Availability onsite to confer with staff members with whom the incumbent must interact on a daily basis

  • Ability to proficiently use a personal computer for tasks such as email and preparing reports using software

  • Ability to review and analyze data and information

  • Ability to complete, or oversee the completion of, assigned tasks/projects in a timely manner

Keywords: Matrix Absence Management, Roseville , Claims Assistant, Workers' Compensation, Other , Roseville, California

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