Workers Compensation Clerk

SUMMARY

Under direct supervision, the Workers’ Compensation Clerk performs a variety of administrative and clerical tasks related to the review and processing of workers’ compensation claims. This role requires a high level of professionalism, attention to detail, and a strong commitment to providing courteous service to associates and external partners. The position also requires strict adherence to confidentiality due to the sensitive nature of claim-related information.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Perform data entry and word processing related to workers’ compensation claims.

• Prepare form letters and required state agency reporting documents.

• Monitor diary systems and retrieve claim file folders as needed.

• Maintain records and prepare reports, which may include complex documentation.

• Reconcile wage payment calculations and review medical service bills for accuracy using applicable fee schedules and UCR tables.

• Verify coverage and eligibility with Price Chopper Pharmacies, onsite medical facilities, and other external vendors.

• Address routine inquiries and escalate more complex questions to appropriate staff members.

• Enter payment authorization requests into the appropriate computer system.

• Compile, post, and prepare required departmental reports.

• Maintain a strong working knowledge of departmental procedures and corporate policies.

• Perform additional duties as assigned by management and comply with all company policies and procedures.

MINIMUM QUALIFICATIONS

• Strong communication and interpersonal skills.

• Excellent organizational abilities and the capacity to manage multiple tasks simultaneously.

• Consistently satisfactory job performance reviews.

EDUCATION AND EXPERIENCE

• High School Diploma or equivalent required.

• At least 1 year of related administrative or clerical experience preferred.

Use of AI in Our Work
At Northeast Grocery, we encourage the responsible use of artificial intelligence (AI) tools to help increase efficiency, productivity, and quality of work. Corporate team members may be expected to leverage AI-enabled tools to support tasks such as analysis, content development, problem-solving, and process improvement. All AI use must align with company policies, data privacy standards, and ethical guidelines.

PHYSICAL REQUIREMENTS