Sr. Administrative Assistant

The individual would be expected to work out the suitable benefits while ensuring compliance with relevant legal requirements. This is a temporary role, available for a tentative period of 6 months.

Responsibilities:

• Review and evaluate all pertinent information to assess the legitimacy of workers' compensation claims.
• Calculating and verifying amounts payable, setting reserves and adhering to the committed cost, and making timely payments.
• Coordinate with medical providers to resolve disputes about medical bills and treatments.
• Prepare written communication regarding the status and decisions of claims.
• Engage in negotiation with injured workers or their attorneys to settle claims.
• Maintain comprehensive, updated records of claims and their respective outcomes.
• Consistently monitor and manage diary dates and follow up on pending items.
• Adhere to regulatory and department standards, guidelines, and protocols.
• Ensure all claims are handled in accordance with state laws and regulations.
• Bachelor's degree in Finance, Business Administration or relevant field.
• Previous work experience as a Workers Compensation Examiner or in a similar role in the insurance field.
• Sound knowledge of laws, regulations and guidelines related to workers’ compensation.
• Famely with indemnity discipline and the ability to analyze different kinds of indemnity claims.
• Exceptional negotiation and decision-making skills.
• Strong written and verbal communication skills.
• Excellent organizational skills, attention to detail and the capability to prioritize tasks.
• Proficiency in Microsoft Office Suite and claims management software.
• A valid license as a Compensation Claims Examiner preferred.