Claims Assistant (California)

Company: ICW Group
Location: Pleasanton
Posted on: May 13, 2022

Job Description:

Are you looking for more than just a job? Do you want to have a voice and feel a sense of belonging? At ICW Group, we hire innovative people who consistently adapt, grow and deliver. We believe in hard work, a fun work environment, and embracing creativity that only comes about when talented people collaborate to develop solutions. Our mission is to create the best insurance experience possible.

Headquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for seven consecutive years as a Top 50 performing P&C company offering the stability of a large, profitable and growing company combined with a small-company entrepreneurial spirit. Our purpose-driven ethos provides team members with opportunities to contribute, develop, and belong.

Exciting new opportunity to provide administrative support and overall assistance to Claims Examiners to assure the timely payment of benefits and administration of Claims in compliance with state law.

WHAT YOU WILL DO:

Deliver basic to intermediate administrative support to Claims Examiners.

* Contacts insured or other involved persons to obtain necessary information to process claim.
* Documents conversations or information on appropriate enterprise resource planning (ERP) system.
* Organizes and works with Examiner using computer to enter, access, search and retrieve data.
* Stays current with diary tasks and procedural changes.

Imparts exceptional customer service to internal and external customers, including insureds.

* Provides information to insured, injured worker or providing referrals to outside vendors as requested by the Examiner.
* Processes claims for indemnity payments and state mandated forms.
* Processes non-medical payments.
* Organizes and works with Examiner using computer to enter, access, search, and retrieve data.

Assist Claims Examiner with complete post-claims resolution and related administrative projects.

* Schedules appropriate medical appointments, calculate mileage and send appointment letter reminders.
* Interaction with nurse on case management regarding return to work status.
* Support Claims Examiners in the preparation, processing and monitoring of payments.

WHAT YOU WILL BRING TO THE ROLE:

* High school diploma or general education degree (GED), required.
* Minimum 1 year of related experience and/or training; or, equivalent combination of education and experience.
* Excellent phone skills.
* Strong computer typing skills and data entry experience.

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Keywords: ICW Group, Pleasanton , Claims Assistant (California), Other , Pleasanton, California