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Claims Assistant - Technical Support

Company: PMA Insurance Group
Location: Roseville
Posted on: May 3, 2021

Job Description:

The Technical Assistant is responsible for assisting the Claims Professionals with providing jurisdictional specific support. Support and assistance include; wage calculation, Division of Workers' Compensation (DWC) form completion, medical packet preparation and organization, as well as specific reporting projects. The Technical Assistant reports directly to the Claims Supervisor to assist with meeting team, office, and jurisdictional needs.

Responsibilities

  • Obtains necessary data and information from applicable sources such as intranets, databases, and internal and external business partners.
  • Analyzes and confirms information from external documents, claim files, orders, Liens, and salary information etc.
  • Accurately completes paperwork, and/or forms in a timely manner as mandated by internal and external guidelines.
  • Completes and formats all necessary California Division of Workers' Compensation (DWC) forms in adherence with benefits paid, etc.
  • Completes special projects for staff which may include preparing reports, distributing, editing, and formatting material.
  • Accurately develops and maintains records, spreadsheets, and data per internal and statutory guidelines.
  • Calculates necessary benefits as applicable under the California State Workers' Compensation system.
  • Must be able to work in a team environment and have the ability to multi-task in a fast-paced setting.
  • Demonstrate commitment to Company's Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work.

Requirements:

  • High School diploma plus 1 to 3 years of applicable insurance experience and or knowledge is required.
  • Must be able to prioritize activities according to strict timelines.
  • Computer experience including but not limited to, Microsoft Word, and Microsoft Excel is essential.
  • Must be able to type 50-65 wpm.
  • Must be able to communicate effectively through all mediums of communication and possess excellent mathematical skills.

Keywords: PMA Insurance Group, Roseville , Claims Assistant - Technical Support, Other , Roseville, California

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