Claims Service Assistant - VA

Job Summary:

The Claims Service Assistant (CSA) provides administrative and operationalsupport to claims professionals through the claims lifecycle. This role is responsible for claim set up, diary management, bill processing, appointment coordination, and other duties as requested by the claims professionals to ensure efficient, accurate, and timely claims processing. The CSA plays a critical role in supporting the claims adjudication process and maintaining high service standards. This is an entry-level position with the opportunity for career growth within the organization Responsibilities Claim Set up

• includes entering new losses into the claims system, assigning adjuster/supervisor as directed, and setting up all new claim diaries with attention to detail and accuracy. Phone Calls
• receive and initiate phone calls on related claim matters utilizing GoTo App and Teams including appointment scheduling and notifications. Diary Management
• maintain diary daily in furtherance of claims related tasks to include medical follow up, wage requests, form filing, etc. Email
• management of email via Outlook daily for receipt, documentation, and uploading documents received via email and fax, as well as communication received, and other tasks as requested by the claims professionals. Bill Processing
• process mileage and other reimbursements to injured workers or medical provider payments (pre-payments for IMEs as an example) as directed by the claims professionals. Form Filing
• file claims related forms to the Department of Labor (DOL) via Seaportal website and other claims documents as requested by the DOL to include correspondence, medical notes, etc. as directed by the claims professionals. Documentation Management
• upload documents as received and manage weekly documentation labelling reports and label the documents utilizing the appropriate naming conventions for easy identification. Claim Reports
• Create and distribute claims management information and reports to stakeholders as directed by the claims professionals. Other Duties
• all other duties as required or directed in furtherance of the support of the claims professionals to ensure proper, timely, and professional adjudication of claims. Qualifications Associate's or Bachelor's degree preferred, or equivalent combination of education and relevant work experience 1
• 3 years of administrative, insurance, or claims support experience preferred Experience in workers' compensation, insurance, or related field is a plus Proficiency in Microsoft Office (Excel, Outlook, Word, Teams) Strong organizational skills and attention to detail Ability to manage multiple priorities in a fast-paced environment Strong written and verbal communication skills

Key Skills:

Organization and time management Attention to detail and accuracy Customer service orientation Communication and teamwork Basic problem-solving and critical thinking skills Adaptability and willingness to learn

Pay:

$45,000.00

• $55,000.

00 per year

Benefits:

401(k) 401(k) 6% Match Dental insurance Employee assistance program Flexible spending account Health insurance Health savings account Life insurance Paid time off Parental leave Prescription drug insurance Referral program Vision insurance Ability to

Commute:

Virginia Beach, VA 23458 (Required)

Work Location:

In person