Claims Assistant

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The Claims Assistant plays a key role in ensuring the seamless execution of services through effective communication, and continuous process improvement. This position is responsible for supporting the claims team while identifying and executing opportunities for growth, operational efficiency, and financial performance.

The Claims Assistant will work collaboratively with the Account Executive Team and Clients to develop strategies and goals that align with the company’s strategic initiatives and core values. This individual will achieve customer service level agreements (SLAs) and foster relationships with clients and claims staff to enhance program capabilities. This role will begin onsite and can transition to a hybrid schedule of 3 days in the office and 2 days working from home, depending on performance, job knowledge, and operational needs.

Core Responsibilities Include

• Set up new losses
• Manage Corporate Claims email inbox
• Wage Calculations
• Subpoenas
• Request medical records
• Follow up with required paperwork
• TTD & Maintenance payment schedules
• Index queue in Vision
• Handle all paper mail, including scanning and uploading documents to claim files
• Scan/attach documents to claims in Origami claim system
  
  

Reports To

Senior Account Managers & VP of Client Network Services

Collaboration: Workers Compensation Director

Requirements

• High school diploma or equivalent; additional certification in office administration is a plus.
• Proven experience as a claim assistant or in a similar administrative role.
• Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook) and other relevant software.
• Strong organizational skills with the ability to prioritize tasks effectively.
• Excellent written and verbal communication skills.
• Attention to detail and accuracy in all tasks.
• Ability to work independently and as part of a team.
  
  

Benefits

• Hourly Rate: $19.00-24.00.
• 401(k)
• You will be part of our new Elevate program designed to recognize and reward employees for their hard work
• A relaxed, yet upbeat work environment
  
  

About Us

Headquartered in Chicago, RISING Medical Solutions is a privately held, financial solutions organization offering medical cost containment and care management services. With offices, providers, and case managers nationwide, RISING provides comprehensive medical claims solutions to our valued clients: insurance carriers, Fortune 1000 employers, third party administrators, and government organizations. At RISING, we’re committed to:

• Continuous technological improvement
• Entrepreneurial attitude
• Seven core values that emphasize teamwork, ethical behavior, customer service, continual improvement, positive attitude, focusing on what's really important, and keeping a sense of humor
• Responding quickly to client needs
• Being the best, not the biggest
  
  

Physical/Mental Demands

• Remaining in a seated position
• Entering text or data into a computer
• Visual Acuity
• Talking
• Hearing
• Repetitive arm, hand, and finger motions
• Working remotely some or all of the time
  
  

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