Claims Assistant

Description We are looking for a detail-oriented Claims Assistant to support claims operations within the Workers' compensation industry. This contract opportunity with potential for a long-term role is ideal for someone who can balance administrative accuracy, responsive service, and sound judgment while helping move workers' compensation claims forward. The right candidate will contribute to timely claim handling, maintain clear communication with stakeholders, and assist with documentation, benefit processing, and claim-related coordination.

Responsibilities:

• Review claim information, assess supporting details, and help establish appropriate reserves based on injury information, expected costs, and claim circumstances.
• Deliver attentive service to internal teams, claimants, employers, medical providers, and other partners through consistent and timely communication.
• Process benefits accurately in alignment with applicable regulations and company standards, including preparation and submission of required state documentation.
• Coordinate medical treatment activity and track claim progress to help keep files moving efficiently toward resolution.
• Use available internal and external resources to support cost control efforts and reduce claim exposure where appropriate.
• Examine claim files for potential legal concerns, work with attorneys as needed, and support settlement evaluation within established authority levels.
• Maintain organized claim records through careful data entry, documentation review, and ongoing administrative support.
• Manage inbound calls and respond to routine inquiries related to claim status, required forms, and next steps.
• Conduct regular reviews of assigned files to identify updates, outstanding items, and opportunities to advance claim handling. Requirements
• 3+ years of experience in claims support, administrative assistance, or a related office-based role.
• Hands-on knowledge of workers' compensation claims processing and benefit administration.
• Ability to perform accurate data entry and maintain detailed documentation in a fast-paced environment.
• Experience handling inbound calls and providing attentive customer support to a variety of stakeholders.
• Working understanding of basic medical terminology relevant to injury-related claims.
• Strong organizational skills with the ability to prioritize multiple tasks and follow deadlines.
• Clear written and verbal communication skills for interacting with internal teams and external contacts.

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